103808777-11-1-2021-04-CC-AJUZ-C8G35B-20211104175624

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 103808777
Report Date: 11/01/2021
Date Signed: 11/01/2021 09:25:39 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
08/20/2021 and conducted by Evaluator Luisa Gavoutian

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210820160350

FACILITY NAME:	BRIGHTEN ACADEMY PRESCHOOL		FACILITY NUMBER:	103808777
ADMINISTRATOR:	PETERSON, KRISTIN		FACILITY TYPE:	850
ADDRESS:	2016 SHAW AVENUE		TELEPHONE:	(559) 299-8100
CITY:	CLOVIS	STATE: CA	ZIP CODE:	93611
CAPACITY:	92	CENSUS: 51	DATE:	11/01/2021
		UNANNOUNCED	TIME BEGAN:	08:25 AM
MET WITH:	Director - Amy Conley		TIME COMPLETED:	09:35 AM

ALLEGATION(S):

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Facility is not following proper COVID-19 mask guidance.

INVESTIGATION FINDINGS:

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On 11/01/2021, Licensing Program Analyst (LPA) Luisa Gavoutian conducted an unannounced complaint visit to provide findings for the above-mentioned allegation. LPA met with Director Amy Conley, toured the facility, and took a census. During the course of the investigation, LPA interviewed Licensee and Director, reviewed facility records, and made observations. Investigation revealed that the facility has implemented the CA Department of Public Health’s “Guidance for Childcare Providers and Programs.” Licensee has notified all families through written communication of the proper COVID-19 mask usage guidance. All adults, including staff, parents, and visitors, are being required to wear face coverings when entering the facility. LPA observed and interviews revealed that children are being taught and reminded to wear face coverings. Interviews indicated that not all children are able to safely wear face coverings or keep the face coverings on consistently while at the facility. LPA observed child-sized face masks available at the facility for children who forget to bring them from home or need a replacement.
(Continued on LIC 9099-C)

Unsubstantiated

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: 11/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2021

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-20210820160350

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: BRIGHTEN ACADEMY PRESCHOOL	FACILITY NUMBER: 103808777
	VISIT DATE: 11/01/2021

NARRATIVE

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The investigation revealed through interviews, LPA’s observations, and review of records, that although the above allegation may have happened or is valid, there is not a preponderance of evidence at this time to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency is cited during today's visit.

An exit interview conducted with Director Amy Conley. A copy of this report and Appeal Rights were provided and discussed with Director.

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: Luisa Gavoutian	TELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2021

LIC9099 (FAS) - (06/04)

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