100407094-11-8-2021-04-CC-DLEN-C8PQN8-20211112111839

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 100407094
Report Date: 11/08/2021
Date Signed: 11/08/2021 11:23:23 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
08/26/2021 and conducted by Evaluator Angelica Slaughter

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210826105649

FACILITY NAME:	FRESNO EOC SAN JOAQUIN HEAD START		FACILITY NUMBER:	100407094
ADMINISTRATOR:	HERNANDEZ, SELENA		FACILITY TYPE:	850
ADDRESS:	8535 SOUTH NINTH		TELEPHONE:	(559) 693-4571
CITY:	SAN JOAQUIN	STATE: CA	ZIP CODE:	93660
CAPACITY:	20	CENSUS: 6	DATE:	11/08/2021
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Nancy Garcia / Selena Hernandez		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Facility did not notify families of children in care of a confirmed case of COVID-19.

INVESTIGATION FINDINGS:

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On 11/08/21, Licensing Program Analyst (LPA) Angelica Slaughter conducted an unannounced follow up complaint inspection to the facility. LPA met with Teacher III, Nancy Garcia and spoke with Director Selena Hernandez by telephone. 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. Based on the information obtained, there is a preponderance of the evidence to prove the facility did not notify families of children in care of a confirmed case of COVID-19; therefore, the allegation is substantiated.

Per California Code of Regulation, Title 22, Division 12, a deficiency is being cited (continued on page 9099 C and 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: 11/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021

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-20210826105649

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: FRESNO EOC SAN JOAQUIN HEAD START	FACILITY NUMBER: 100407094
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/08/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/12/2021 Section Cited CCR 102423(a)(2)	1 2 3 4 5 6 7	Personal Rigths - To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidenced by: record review and staff interview.	1 2 3 4 5 6 7	Director stated new procedures have been put in place to prevent this type of incident from reoccurring. Director will email new procedures to LPA on 11/09/21 when she returns to the facility.
	8 9 10 11 12 13 14	Director stated she reported the positive Covid case to her ECE Specialist, but was unaware she was to report to CCLD and contact parents of the positive case. This posses a potential risk to the health, safety and/or personal rights of children in care.	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: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica Slaughter	TELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021

LIC9099 (FAS) - (06/04)

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Control Number 04-CC-20210826105649

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: FRESNO EOC SAN JOAQUIN HEAD START	FACILITY NUMBER: 100407094
	VISIT DATE: 11/08/2021

NARRATIVE

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Per the Guidance for Child Care Providers and Programs dated June 29, 2021 it states on page 1/5:

Licensees and other child care providers should continue to follow COVID-19 requirements and guidance in all applicable California Department of Social Services (CDSS) and Community Care Licensing (CCL) Provider Information Notices (PIN), in addition to guidance or requirements from California Department of Public Health (CDPH), California Department of Industrial Relations Division of Occupational Safety & Health (Cal/OSHOA), and local public health departments, as applicable to the particular facility.

It further states on page 2/5 under Planning:

Facilities should have a written plan for when a child or staff member has been exposed to someone with COVID-19, has symptoms of COVID-19 or tests positive for COVID-19.

Developing a written communication plan with parents, guardians, and caregivers to share information and guidelines in their preferred language is recommended.

A copy of the Guidance for Child Care Providers and Programs dated June 29, 2021 was given to the Teacher III for the Director with the sections above highlighted for their review.

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica Slaughter	TELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021

LIC9099 (FAS) - (06/04)

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