100405600-3-30-2022-04-CC-MDUE-C7ZU2L-20211021151203

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 100405600
Report Date: 10/18/2021
Date Signed: 03/30/2022 03:20:31 PM

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
09/02/2021 and conducted by Evaluator Candis Rodriguez

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210902153739

FACILITY NAME:	KIDS KARE SIERRA VISTA		FACILITY NUMBER:	100405600
ADMINISTRATOR:	VARGAS, KRISTINA WOODY		FACILITY TYPE:	840
ADDRESS:	1321 HOBLITT		TELEPHONE:	(559) 299-0403
CITY:	CLOVIS	STATE: CA	ZIP CODE:	93612
CAPACITY:	95	CENSUS: 12	DATE:	10/18/2021
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Kristina Vargas		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Child received an injury while in care

INVESTIGATION FINDINGS:

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**This document was amended on 03/30/2022.
On 10/18/2021, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced complaint inspection at facility. LPA met with Director Kristina Vargas, explained purpose of inspection and took a census.

During the investigation, LPA interviewed staff members and multiple parents. It was revealed through interview and document review that Child #1 sustained an abrasion to their side abdomen area while at facility on 08/09/2021. It was revealed through interview with Reporting Party and Teacher #1 that Child #1 told Teacher #1 that another child was "being mean to them" on the date of the incident. It was determined through interview that the facility did not investigate Child #1's expressed concern immediately. In interview with Parent #1, Parent #2, Parent #3, and Parent #6, it was reported that their children have been involved in incidents of physical nature with other children.
(Continued on LIC 9099-C)

Substantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Candis Rodriguez	TELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022

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-20210902153739

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: KIDS KARE SIERRA VISTA	FACILITY NUMBER: 100405600
	VISIT DATE: 10/18/2021

NARRATIVE

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In interviews with parents, Parent #2 expressed concern that the facility staff may not be paying attention to all children and not witnessing or taking serious some incidents that include bullying or physical altercations. In interview with Parent #6 and their child, Child #2, it was revealed that Child #2 has been in altercations with other children that were not reported by the facility to Parent #6.

It was also revealed through document review Child #1 was seen by a physician and the diagnosis given to Child #1 was "abrasions noted to the abdomen chest area on both sides...in the anterior axillary line over the first rib margin."

It was determined this incident did occur at the facility resulting in injury to Child #1, and the concern of Child #1 to a teacher was not properly addressed or reported to a supervisor or Director, which violates the Personal Rights of Child #1. Therefore, the preponderance of evidence standard has been met, and the allegation is found to be Substantiated.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, a type B deficiency is cited during this inspection (See LIC 9099-D for further).

An exit interview conducted with Director Kristina Vargas. A copy of this report and appeal rights were provided. This report and a Notice of Site Visit shall be posted to parent's board and must remain posted for 30 days.

This document (LIC 9099, LIC 9099-C, and LIC 9099-D) was amended on 03/30/2022 (See Case Management inspection report dated 03/30/2022).

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Candis Rodriguez	TELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022

LIC9099 (FAS) - (06/04)

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Control Number 04-CC-20210902153739

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: KIDS KARE SIERRA VISTA	FACILITY NUMBER: 100405600
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/18/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type B 10/18/2021 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	CCR 101223(a): The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations... This requirement was not met by:	1 2 3 4 5 6 7	Director agreed to hold a mandatory staff training on how to handle concerns and incidents among children, including reporting to a supervisor or Director, as well as how to handle any behavioral issues among children.
	8 9 10 11 12 13 14	Based on interviews and document review, Child #1 received an injury while in care, and Child #1 expressed a concern to Teacher #1 which was not handled appropriately or reported to a supervisor or Director. This poses a potential risk to the health, safety, and personal rights of children in care.	8 9 10 11 12 13 14	Director agreed to provide CCL with an outline of the training materials covered as well as a log of staff who attend the training by 11/05/2021.
	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: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Candis Rodriguez	TELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022

LIC9099 (FAS) - (06/04)

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