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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103909654
Report Date: 02/14/2020
Date Signed: 02/14/2020 12:50:23 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
01/21/2020 and conducted by Evaluator Candis Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20200121101644

FACILITY NAME:WILSON, ALLISON FAMILY CHILD CAREFACILITY NUMBER:
103909654
ADMINISTRATOR:WILSON, ALLISONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 765-7708
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY:14CENSUS: 11DATE:
02/14/2020
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Allison WilsonTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Medications are accessible to children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Candis Rodriguez arrived at the facility to conduct an unannounced complaint inspection to close complaint. A complete file review is conducted prior to visit. LPA met with Licensee Allison Wilson and explained reason for inspection. LPA took a tour of the facility and a census was taken.
During the course of the investigation, LPA interviewed Licensee, Assistant, and ten (10) parents of currently or previously enrolled children. Physical plant was inspected, and a children's roster was obtained. On 01/27/2020, LPA observed multiple medications on the kitchen counter within reach of children.
This agency has investigated the following complaint allegations: Medications are accessible to children. Based on LPA’s observations and interview with Licensee, the preponderance of evidence standard has been met, and the allegation of medications are accessible to children is found to be SUBSTANTIATED.
Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiencies cited during today’s inspection. Licensee was previously cited for this deficiency on 01/27/2020 during an annual inspection being conducted in conjunction with the complaint inspection. An exit interview conducted with Licensee.
Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2020
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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