100404643-11-30-2021-04-CC-DLEN-C9B26G-20211201160703

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 100404643
Report Date: 11/30/2021
Date Signed: 11/30/2021 10:23:42 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/08/2021 and conducted by Evaluator Angelica Slaughter

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210908123710

FACILITY NAME:	HANSEL & GRETEL DAY CARE #2		FACILITY NUMBER:	100404643
ADMINISTRATOR:	ALVAREZ, WILLIAM		FACILITY TYPE:	850
ADDRESS:	1327 N. FRESNO		TELEPHONE:	(559) 266-1557
CITY:	FRESNO	STATE: CA	ZIP CODE:	93703
CAPACITY:	48	CENSUS: 21	DATE:	11/30/2021
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Mayve Vang		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Due to lack of care and supervision, a daycare child was injured while in care.

INVESTIGATION FINDINGS:

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On 11/30/21, Licensing Program Analyst (LPA) Angelica Slaughter conducted an unannounced follow up complaint inspection to the facility. LPA met with Director Mayve Vang. The purpose of the inspection was to deliver the findings for the above complaint allegation.

During the course of the investigation, LPA reviewed documentation and interviewed staff and children. Based on the information obtained, there is a preponderance of the evidence to prove due to lack of supervision, a daycare child was injured while in care; therefore, the allegation is substantiated.

Per California Code of Regulation, Title 22, Division 12, a deficiency is being cited (continued on page 9099 D). Appeal rights were provided. A Notice of Site Visit (LIC 9213) was given. This report shall be made available to the public upon request.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica Slaughter	TELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 04-CC-20210908123710

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: HANSEL & GRETEL DAY CARE #2	FACILITY NUMBER: 100404643
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/30/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/14/2021 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision - No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by: interviews conducted with staff and children.	1 2 3 4 5 6 7	Director stated the facility is currently in the process of having Teacher Assistants become qualified as Teachers and obtaining Teacher Permits. Director will also conduct a staff meeting/training to discuss this incident and how to prevent
	8 9 10 11 12 13 14	Due to a lack of supervision by a teacher, a child was injured while being supervised by an Assistant Teacher out on the play yard. This posses a potential risk to the health, safety and /or personal rights of children in care.	8 9 10 11 12 13 14	such occurrences in the future. Director to submit proof of meeting/training to CCLD by the POC due date of 12/14/21.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica Slaughter	TELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2021

LIC9099 (FAS) - (06/04)

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