100405499-4-29-2020-04-CC-DMAA-BP6TQT-20200430145629

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 100405499
Report Date: 04/28/2020
Date Signed: 04/29/2020 11:59:57 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
02/26/2020 and conducted by Evaluator Angelica Mejia

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20200226131049

FACILITY NAME:	NEW LIFE DISCOVERY SCHOOL (SHIELDS)		FACILITY NUMBER:	100405499
ADMINISTRATOR:	ADAMS, TANGALA		FACILITY TYPE:	850
ADDRESS:	4348 E. SHIELDS AVENUE		TELEPHONE:	(559) 228-8687
CITY:	FRESNO	STATE: CA	ZIP CODE:	93726
CAPACITY:	32	CENSUS: 8	DATE:	04/28/2020
		UNANNOUNCED	TIME BEGAN:	09:04 AM
MET WITH:	Director, Mandeep Gill		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Facility staff denied parent access to daycare child.

INVESTIGATION FINDINGS:

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On 04/28/2020 at 9:04 a.m., Licensing Program Analyst (LPA), Angelica Mejia conducted an unannounced complaint investigation via telephone due to COVID-19 and the suspension of in-person visits. The purpose of the call was to provide findings regarding the above allegation. LPA spoke with Director Mandeep Gill via telephone, discussed the purpose of the call, and a census was taken.

In regard to the allegation that facility staff denied parent access to daycare child, interviews with Staff #1 and Staff #3 revealed that facility staff did not allow Child #1’s father to pick up the child on 02/20/2020, even though he had frequently picked up Child #1 in the past. LPA obtained copies of the facility’s admission agreement which states under “Safety & Contact Information”: “Parents with a custody situation must have court ordered papers on file, stating that they have full physical and legal custody of the child/ren.” During interviews conducted, facility staff admitted that although the facility admission agreement states that a custody order must be on file, Child #1’s mother did not provide one to the facility upon enrollment of the child.
(Continued on LIC9099-C)

Substantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica Mejia	TELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2020

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-20200226131049

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: NEW LIFE DISCOVERY SCHOOL (SHIELDS)	FACILITY NUMBER: 100405499
	VISIT DATE: 04/28/2020

NARRATIVE

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It was determined that although Child #1’s mother had removed the father from the emergency card, the facility did not possess the required documentation, as stated in the admission agreement, from either parent to warrant denying the father access to his child. The investigation revealed the facility did not comply with all terms and conditions set forth in the admission agreement as it relates to the incident on 02/20/2020.

Based on documentation obtained, interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is found: (see LIC9099-D). Licensee was provided a copy of appeal rights.

An exit interview was conducted with Licensee, during which this report was discussed. A copy of this report was provided via email, return receipt requested. This report shall be made available to the public upon request.

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica Mejia	TELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2020

LIC9099 (FAS) - (06/04)

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Control Number 04-CC-20200226131049

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: NEW LIFE DISCOVERY SCHOOL (SHIELDS)	FACILITY NUMBER: 100405499
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/28/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type B 05/28/2020 Section Cited CCR 101219(f)	1 2 3 4 5 6 7	101219 Admission Agreements (f)The licensee shall comply with all terms and conditions set forth in the admission agreement. This requirement was not met as evidenced by: Based on interviews and record review, Licensee did not comply with all terms and conditions	1 2 3 4 5 6 7	Licensee agreed to submit a statement that the facility will abide by all terms and conditions in their admission agreement. Licensee agreed to conduct a training with all staff to address required documentation and procedures related to child pick up and authorized individuals.
	8 9 10 11 12 13 14	set forth in the admission agreement by denying Child #1’s father access to his child without documentation verifying the physical and legal custody of the child. This poses a potential Health, Safety, or Personal Rights risk to children in care.	8 9 10 11 12 13 14	Licensee will provide copies of the training agenda, sign-in sheet, and statement to Community Care Licensing (CCL) by POC due date of 05/28/2020.
	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: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica Mejia	TELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2020

LIC9099 (FAS) - (06/04)

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