103808413-6-28-2019-04-CC-AJUZ-BE6QGS-20190717121001

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 103808413
Report Date: 06/28/2019
Date Signed: 06/28/2019 01:06:36 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
05/15/2019 and conducted by Evaluator Caroline Harris

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20190515132425

FACILITY NAME:	APPLES OF GOLD EDUCATIONAL CENTER		FACILITY NUMBER:	103808413
ADMINISTRATOR:	DUGAN, JACKIE		FACILITY TYPE:	850
ADDRESS:	7272 W. SHAW AVENUE		TELEPHONE:	(559) 276-7272
CITY:	FRESNO	STATE: CA	ZIP CODE:	93723
CAPACITY:	168	CENSUS: 28	DATE:	06/28/2019
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	April Gooboian		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility is operating out of ratio.

INVESTIGATION FINDINGS:

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

An unannounced complaint visit was conducted today by LPAs Caroline Harris and Candis Rodriguez. LPAs met with April Gooboian. A census was taken. The purpose of today’s visit was to close the above complaint investigation. The investigation revealed the following:

On 5/15/19, it was reported to the Fresno CCL office that licensee was operating out of ratio. On 5/20/19 LPA Harris observed the facility to be out of ratio on two separate occasions, while watching children on the playground in the morning time. Once there was 3 teachers with 39 children. The second time, the LPA observed 2 teachers with 33 children, as 1 teacher had to step into the bathroom in order to supervise children.

Based upon observation and interviews conducted, the preponderance of the evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2019

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-20190515132425

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: APPLES OF GOLD EDUCATIONAL CENTER	FACILITY NUMBER: 103808413
	VISIT DATE: 06/28/2019

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

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

"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." Child Care Parent Notification Requirements LIC 9224 was provided and discussed (LIC 9224 -Acknowledgement of Receipt of Licensing Reports).

Exit interview conducted with April Gooboian. A copy of this report and appeal rights were provided. A Notice of Site Visit Form was posted on parent's board and must remain posted for 30 days.

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2019

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 04-CC-20190515132425

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: APPLES OF GOLD EDUCATIONAL CENTER	FACILITY NUMBER: 103808413
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/28/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/05/2019 Section Cited CCR 101216.3(a)	1 2 3 4 5 6 7	Teacher-Child Ratio- There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance. This requirement was not met as evidenced by the LPA's observations (further described in 9099).	1 2 3 4 5 6 7	The licensee will submit teacher schedule's for the next 4 months to the Fresno CCL office. The licensee will also update the time clock so that check in/out times are readable.
	8 9 10 11 12 13 14	This is an immediate risk to the health, safety 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: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 3