100405499-5-19-2023-04-CC-JMOA-CUC45W-20230802184831

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 100405499
Report Date: 05/19/2023
Date Signed: 05/19/2023 12:06:34 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 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
05/17/2023 and conducted by Evaluator Joseph Pacheco

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20230517100106

FACILITY NAME:	NEW LIFE DISCOVERY SCHOOL (SHIELDS)		FACILITY NUMBER:	100405499
ADMINISTRATOR:	MICHAEL XIONG		FACILITY TYPE:	850
ADDRESS:	4348 E. SHIELDS AVENUE		TELEPHONE:	(559) 228-8687
CITY:	FRESNO	STATE: CA	ZIP CODE:	93726
CAPACITY:	32	CENSUS: 22	DATE:	05/19/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Veronica Medina - Teacher Specialist		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Facility staff did not adequately supervise day care children
Facility staff did not ensure that day care children have access to water

INVESTIGATION FINDINGS:

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On 5/19/23, Licensing Program Analyst (LPA) Joseph Pacheco and Licensing Program Manager (LPM) Juvenal Moctezuma conducted an unannounced complaint inspection. LPA and LPM met with Teacher Specialist (TS). Veronica Medina. The purpose of the inspection was to initiate an investigation and conclude the findings for the above complaint allegation.

During the course of the investigation, LPA and LPM interviewed day care staff. Based on the information obtained during the investigation and LPM observing children using both bathrooms simultaneously while staff were standing in the children’s cubby area which does not meet the requirement for children to be visually supervised at all times or for children to receive assistance while using the bathrooms, there is a preponderance of the evidence to prove facility staff did not adequately supervise day care children and facility staff did not ensure that day care children have access to water; therefore, the allegations are substantiated. The facility self-reported the incident which through information gathered during the course of the investigation it was confirmed that Child #1 was left outside unsupervised for no less 30 minutes which poses an immediate
CONTINUED ON LIC9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Juvenal Moctezuma	TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Joseph Pacheco	TELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2023

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-20230517100106

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: NEW LIFE DISCOVERY SCHOOL (SHIELDS)	FACILITY NUMBER: 100405499
	VISIT DATE: 05/19/2023

NARRATIVE

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risk to the health, safety or personal rights of children in care.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 9099 D). Licensee was provided a copy of their appeal rights.

LPA Joseph Pacheco informed Teacher Specialist, Veronica Medina that this report dated 5/19/23 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.
Also, LPA Joseph Pacheco informed the Teacher Specialist. Veronica Medina to provide a copy of this licensing report dated 5/19/23 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with Teacher Specialist, Veronica Medina.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Juvenal Moctezuma	TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Joseph Pacheco	TELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2023

LIC9099 (FAS) - (06/04)

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Control Number 04-CC-20230517100106

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: NEW LIFE DISCOVERY SCHOOL (SHIELDS)	FACILITY NUMBER: 100405499
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/19/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/22/2023 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 information obtained from the	1 2 3 4 5 6 7	Licensee to have an all-staff training regarding care and supervision of children and provide a written copy of the curriculum and sign in sheets showing who attended. Plan and scheduled date of training is to be submitted to Community Care Licensing by 5/22/23.
	8 9 10 11 12 13 14	facility. On 5/16/23 facility self-reported that on 5/12/23 Child #1 was left unsupervised outside for no less than 30 minutes. This poses an immediate risk to the health, safety or personal rights of children in care. A civil penalty is being issued.	8 9 10 11 12 13 14
	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: Juvenal Moctezuma	TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Joseph Pacheco	TELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 04-CC-20230517100106

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: NEW LIFE DISCOVERY SCHOOL (SHIELDS)	FACILITY NUMBER: 100405499
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/19/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/26/2023 Section Cited CCR 101239.2(a)(1)	1 2 3 4 5 6 7	Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area. (1) Children shall be free to drink as they wish. This requirement was not met as evidenced by information obtained during the investigation that children do not have water readily	1 2 3 4 5 6 7	Currently the center uses Brita pitchers that get filled in the kitchen. Through interviews conducted it was revealed that the pitchers take a while to get refilled leaving the children without water to freely drink. Licensee to create a plan and submit to community care licensing ensuring how water will be readily
	8 9 10 11 12 13 14	available to freely drink when playing outdoors. This poses a potential risk to the health, safety or personal rights of children in care.	8 9 10 11 12 13 14	available for children to freely drink at all times.
HSC	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: Juvenal Moctezuma	TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Joseph Pacheco	TELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2023

LIC9099 (FAS) - (06/04)

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