103808038-5-11-2021-04-CC-MDUE-C3LU5L-20210602151655

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 103808038
Report Date: 05/11/2021
Date Signed: 05/11/2021 05:12:14 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
04/13/2021 and conducted by Evaluator Cynthia Brannon

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210413140758

FACILITY NAME:	DERMER'S CREATIVE CARE TOO		FACILITY NUMBER:	103808038
ADMINISTRATOR:	DERMER, SANDRA SUE		FACILITY TYPE:	830
ADDRESS:	8855 N. CHESTNUT		TELEPHONE:	(559) 325-6913
CITY:	FRESNO	STATE: CA	ZIP CODE:	93720
CAPACITY:	22	CENSUS: 17	DATE:	05/11/2021
		UNANNOUNCED	TIME BEGAN:	04:00 PM
MET WITH:	Sandra Dermer		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff not fingerprint cleared.
Facility operating out of ratio.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analysts (LPAs) Brannon and Iglesias conducted an unannounced complaint inspection to provide findings for the above allegations. LPA Brannon met with licensee, Sandra Dermer. LPA Brannon reviewed the allegations, toured the facility, inside and outside and took a census. LPA observed 17 infants with 7 staff. During the course of the investigation; LPA interviewed licensee and staff. Interviews and facility files reflect that staff#1 was hired, started working at facility before being associated to facility. During a previous inspection, LPA observed one staff in the crib room with two napping infants while the other staff member had five infants. During Interviews and LPA’s observation during inspection visit reflect that facility is operating out of ratio.

During the course of this investigation, LPA made observations and conducted interviews. Based upon LPA Brannon’s observations, and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED

CONTINUED ON FOLLOWING PAGE

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia Brannon	TELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021

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 4

Control Number 04-CC-20210413140758

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: DERMER'S CREATIVE CARE TOO	FACILITY NUMBER: 103808038
	VISIT DATE: 05/11/2021

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Type A deficiency was cited. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A completed signed copy of the LIC 9224 will be placed in each child’s file.

During today’s visit, LPA provided licensee with a copy of PIN 20-24-CCP, LIC 9227 – Individual Infant Sleeping Plan, a copy of the amended section 101239 Fixtures, Furniture Equipment and Supplies, amended section 101416.5 Staff-Infant Ratio, amended section 101419.2 Infant Needs and Services Plan, amended section 101429 Responsibility for Providing Care and Supervision for Infants, amended section 101430 Infant Care Activities, and amended section 101439.1 Infant Care Center Sleeping Equipment.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, these deficiencies are to be cited. Exit interview conducted with licensee, Sandra Dermer. Plan Of Correction/Appeal Rights were given and discussed. A Notice of Site Visit was posted on parent board in the presence of LPA Brannon.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia Brannon	TELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 04-CC-20210413140758

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: DERMER'S CREATIVE CARE TOO	FACILITY NUMBER: 103808038
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/11/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/11/2021 Section Cited CCR 101170(e)(1)	1 2 3 4 5 6 7	Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: ll individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department	1 2 3 4 5 6 7	Per licensee, she will provide written statement on her hiring policy to include that staff who are not associated to facility shall not be allowed to work at facility with children until staff is associated to facility. This updated policy shall be sent to the Fresno Regional office by 5/18/21.
	8 9 10 11 12 13 14	This requirement was not met as per licensee, staff # 1, started working at facility without receiving a fingerprint clearance. This is an immediate health, safety and/or personal rights to infants in care. A civil penalty of $100.00 has been assessed. Licensee shall pay bill upon receipt.	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: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia Brannon	TELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 04-CC-20210413140758

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: DERMER'S CREATIVE CARE TOO	FACILITY NUMBER: 103808038
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/11/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/01/2021 Section Cited CCR 101416.5(b)	1 2 3 4 5 6 7	Staff – Infant Ratio. There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidenced by staff interviews and LPA’s observation during 5/3/21 inspection. LPA observed that one staff was in the crib room with two infants and another staff was in the classroom with 5 awake infants. This is a potential health, safety and/or personal rights to infants in care.	1 2 3 4 5 6 7	Per licensee, with her current crib room set-up of having a solid half wall, she will have staff remain in the crib room with infants in cribs. This staff member is not included in the classroom ratio with awake infants. Licensee shall provide updated policy on how she will ensure that facility will adhere to the infant ratio.
	8 9 10 11 12 13 14		8 9 10 11 12 13 14	Licensee's updated policy shall be sent to the Fresno Community Care Licensing office by 6/1/21.
	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: Cynthia Brannon	TELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021

LIC9099 (FAS) - (06/04)

Page: 4 of 4