103808957-2-17-2021-04-CC-DMAA-C2KTSA-20210430145845

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 103808957
Report Date: 02/16/2021
Date Signed: 02/17/2021 04:54:26 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
02/04/2021 and conducted by Evaluator Norma Lomeli

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210204110419

FACILITY NAME:	CLOVIS CHRISTIAN SCHOOLS, LLC		FACILITY NUMBER:	103808957
ADMINISTRATOR:	BONJORNI, KIMBERLY		FACILITY TYPE:	850
ADDRESS:	3105 LOCAN AVE		TELEPHONE:	(559) 291-6302
CITY:	CLOVIS	STATE: CA	ZIP CODE:	93619
CAPACITY:	150	CENSUS: 21	DATE:	02/16/2021
		UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Kimberly Bonjorni		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Classroom operating out of ratio.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA), Norma Lomeli arrived at facility to conduct an unannounced complaint inspection to gather information to investigate the above allegation. Met with Director, Kimberly Bonjorini and Assistant Director, Mary Akers who accompanied LPA during tour of facility's Preschool Classroom 101 and Classroom 103 and census taken. LPA explained the allegation. During the today's inspection, LPA observed only Teacher #1 caring for 13 children in Classroom 103.

Based upon observations, and information gathered through interviews, 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 LIC9099-D.

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

(Continued on LIC9099-C):

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma Lomeli	TELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:	DATE: 02/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2021

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 3

Control Number 04-CC-20210204110419

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: CLOVIS CHRISTIAN SCHOOLS, LLC	FACILITY NUMBER: 103808957
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/16/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/16/2021 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 LPA Lomeli's observations during today's inspection. LPA observed only one staff, Teacher#1 caring and supervising 13 preschool children in Classroom 103.	1 2 3 4 5 6 7	During inspection, Teacher #2 arrived to Classroom #103 bringing the classroom back to ratio. Director states that she will conduct a staff meeting focusing on teacher-child ratio requirements and how to maintain teacher-child ratios during teacher's breaks. Director will
	8 9 10 11 12 13 14	This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14	provide LPA with a copy of staff meeting agenda by Friday, February 19, 2021.
	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: Duane Matsubara	TELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma Lomeli	TELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:	DATE: 02/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 04-CC-20210204110419

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: CLOVIS CHRISTIAN SCHOOLS, LLC	FACILITY NUMBER: 103808957
	VISIT DATE: 02/16/2021

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

Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is being cited on the attached LIC9099-D.

An exit interview conducted with Director, Kimberly Bonjorni. A copy of this report and Appeal Rights were provided and discussed with Mrs. Bonjorni.

LPA observed director post the Notice of Site Visit Form on parent's board and understands it must remain posted for 30 days.

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma Lomeli	TELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:	DATE: 02/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3