<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103900433
Report Date: 12/18/2020
Date Signed: 12/18/2020 12:45:55 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
09/17/2020 and conducted by Evaluator Cynthia Brannon
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20200917091443
FACILITY NAME:JACKSON,SUZETTEFACILITY NUMBER:
103900433
ADMINISTRATOR:JACKSON,SUZETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 708-8700
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY:14CENSUS: 3DATE:
12/18/2020
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Suzette JacksonTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee is not supervising children in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Brannon conducted an unannounced complaint inspection to provide findings for the above allegation. LPA Brannon met with licensee, Suzette Jackson. LPA Brannon reviewed the allegation.

During the course of this investigation, different LPAs conducted interviews with licensee, parents, children, complainant and received photos of facility from licensee. Interviews reflect that adequate supervision was not provided. A parent informed LPA that during pick up of child, the parent would be in the backyard, peering through the windows of the playroom into the home. Parent could see children in the playroom, but no adult in either the playroom or facility’s family room. Pictures and interview provided by licensee reflects a large fireplace that obstructs an adult’s visual supervision when children are playing in the children’s playroom. Based upon LPA Brannon’s observations of the pictures and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Continued on following page.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2020
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 5
Control Number 04-CC-20200917091443
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: JACKSON,SUZETTE
FACILITY NUMBER: 103900433
VISIT DATE: 12/18/2020
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 3, this deficiency is cited. Exit interview conducted with the licensee, Suzette Jackson. 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 DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 04-CC-20200917091443
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: JACKSON,SUZETTE
FACILITY NUMBER: 103900433
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/04/2021
Section Cited
CCR
102417(a)
1
2
3
4
5
6
7
Operation of a Family Child Care Home. The licensee shall be present in the home and shall ensure that children in care are supervised at all times. This requirement was not met as evidenced by licensee allowed children to play in the enclosed patio without supervision.
1
2
3
4
5
6
7
Per licensee, Suzette Jackson, she will provide a written statement that when she is able to utilize the children's playroom, she or her assistant will be in the room with the children. The documentation will be sent to the Fresno Child Care Regional office no later than 1/4/2020.
8
9
10
11
12
13
14
There is a large fireplace that obstructs licensee and assistance’s visual observation of children in care when the children are playing in the playroom. Licensee stated that she cooks in the kitchen and can only hear the children in the attached enclosed patio. Licensee does not have the visual supervision to see when a child is injured or when a disagreement ensues between children in care. This a potential risk to the personal rights, health and safety 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: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
09/17/2020 and conducted by Evaluator Cynthia Brannon
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20200917091443

FACILITY NAME:JACKSON,SUZETTEFACILITY NUMBER:
103900433
ADMINISTRATOR:JACKSON,SUZETTEFACILITY TYPE:
810
ADDRESS:4525 E SAN GABRIELTELEPHONE:
(559) 708-8700
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY:14CENSUS: DATE:
12/18/2020
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Suzette JacksonTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee not treating child with dignity.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 Licensing Program Analyst (LPA) Brannon conducted an unannounced complaint inspection to provide findings for the above allegation. LPA met with licensee, Suzette Jackson. LPA reviewed the allegation. During the course of this investigation, different LPAs conducted interviews with licensee, parents, children, complainant and received photos of facility from licensee. Interviews reflect that licensee did make a comment of an eight-year-old being too old/big to be in a stroller to the child. Licensee did not make this statement with malicious intent; however, licensee is to be aware that children will react to comments made about them differently. Some children may internalize their feelings, while others may act out. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.
Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency is cited during today’s visit. Exit interview conducted with licensee, Suzette Jackson. A Notice of Site Visit was posted on parent board in 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
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 5