100407063-11-21-2019-04-CC-AJUZ-BJB3H2-20191126171512

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 100407063
Report Date: 11/21/2019
Date Signed: 11/21/2019 11:20:56 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
10/30/2019 and conducted by Evaluator Luisa Gavoutian

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20191030134202

FACILITY NAME:	YOUNG WORLD II INFANT & PRESCHOOL CENTER		FACILITY NUMBER:	100407063
ADMINISTRATOR:	JOSLYN DIXON		FACILITY TYPE:	850
ADDRESS:	2955 N. FOWLER AVENUE		TELEPHONE:	(559) 291-0342
CITY:	CLOVIS	STATE: CA	ZIP CODE:	93611
CAPACITY:	48	CENSUS: 35	DATE:	11/21/2019
		UNANNOUNCED	TIME BEGAN:	10:25 AM
MET WITH:	Director-Irma Villa		TIME COMPLETED:	11:35 AM

ALLEGATION(S):

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Day care child was taken from facility without proper permission.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Luisa Gavoutian conducted an unannounced complaint inspection to provide findings for the above allegation. LPA met with Director Irma Villa who accompanied LPA during tour of facility both inside and outside. LPA discussed the allegation and took a census. During the course of the investigation, LPA interviewed staff and witnesses, and reviewed facility records. During the investigation, interviews with staff revealed that on October 29, 2019, children were reading a book about leaves and the teachers decided to work on a project for which they went outside to collect leaves, sticks, and rocks. Staff 1 stated that 23 children, accompanied by three staff, were initially taken to the front of the building and then decided to walk two houses down to the corner of the street and were gone for approximately ten minutes.
(Continued on next page, LIC 9099C)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa Gavoutian	TELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2019

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

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 04-CC-20191030134202

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: YOUNG WORLD II INFANT & PRESCHOOL CENTER	FACILITY NUMBER: 100407063
	VISIT DATE: 11/21/2019

NARRATIVE

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Interviews with Staff and review of facility records revealed that facility did not maintain signed permission slips from the children’s parents/authorized representatives to remove the children from facility premises. Further review of the parent handbook and admission policy revealed no information on field trip provisions.

Based upon observations, and information gathered through interviews and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is being cited on the attached LIC 9099D.

An exit interview conducted with Director, Irma Villa. A copy of this report and Appeal Rights were provided and discussed with Director.

A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa Gavoutian	TELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 04-CC-20191030134202

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: YOUNG WORLD II INFANT & PRESCHOOL CENTER	FACILITY NUMBER: 100407063
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/21/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/05/2019 Section Cited CCR 101218(a)(5)	1 2 3 4 5 6 7	Admission Policies; Every child care center shall have all admission policies in writing and available to the public. The policies shall coincide with the limitations stated on the license, and shall include, but not be limited to, the following: Field-trip provisions, if any. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee to update admission policies to include field-trip provisions and to submit a copy to CCL by POC date 12/05/19.
	8 9 10 11 12 13 14	Based on interviews and records review, facility staff removed 23 children from facility without prior written permission. Review of children’s records and admissions policies did not include field trip provisions. This poses a potential risk to the health, safety, or personal rights of children.	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: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa Gavoutian	TELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2019

LIC9099 (FAS) - (06/04)

Page: 3 of 3