103900799-5-16-2019-04-CC-DMAA-BEV2RB-20190808173716

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 103900799
Report Date: 05/16/2019
Date Signed: 05/16/2019 12:03:13 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
05/10/2019 and conducted by Evaluator Norma Lomeli

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20190510101348

FACILITY NAME:	PRECIADO, EMILY		FACILITY NUMBER:	103900799
ADMINISTRATOR:	PRECIADO, EMILY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 251-1727
CITY:	FRESNO	STATE: CA	ZIP CODE:	93727
CAPACITY:	14	CENSUS: 1	DATE:	05/16/2019
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Emily Preciado		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Provider hit daycare child.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Norma Lomeli arrived at family child care home to conduct an unannounced complaint inspection to gather information to investigate the above allegation. Met with Licensee, Emily Preciado who accompanied LPA during a tour of the home. LPA explained the allegation and census taken. LPA interviewed licensee and reviewed facility records. During today's inspection, licensee revealed that on May 9, 2019, she panked Child #1 four times in the buttocks.

Based upon licensee's statement that she spanked child four times in the buttocks, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

(Continued on LIC9099-C):

Substantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma Lomeli	TELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019

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-20190510101348

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: PRECIADO, EMILY	FACILITY NUMBER: 103900799
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/16/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/16/2019 Section Cited CCR 102423(a)(4)	1 2 3 4 5 6 7	PERSONAL RIGHTS. To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids	1 2 3 4 5 6 7	Licensee agrees to use redirection or time outs only as forms of discipline and will not violate the personal rights of the day care children. Licensee has provided LPA with a written statement agreeing to abide by Title 22, Personal Rights regulation.
	8 9 10 11 12 13 14	to physical functioning. This regulation was not met as evidenced by licensee's statement to LPA that she spanked Child #1 four times on his buttocks. This is an immediate risk to the health and safety or personal rights of children in care.	8 9 10 11 12 13 14	DEFICIENCY CLEARED DURING INSPECTION.
	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: 05/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019

LIC9099 (FAS) - (06/04)

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Control Number 04-CC-20190510101348

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: PRECIADO, EMILY	FACILITY NUMBER: 103900799
	VISIT DATE: 05/16/2019

NARRATIVE

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"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." The licensee was provided a copy of the "Fact Sheet" for AB 633 (Parent Notification Requirements), along with a copy of the relevant documents this date. A completed signed copy of the LIC 9224 will be placed in each child's file.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, this deficiency is being cited on the attached LIC9099-D).

An exit interview conducted with Licensee, Emily Preciado. A copy of this report and Appeal Rights were provided and discussed with Emily Preciado .

LPA observed licensee 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: 05/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019

LIC9099 (FAS) - (06/04)

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