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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 150401000
Report Date: 04/30/2020
Date Signed: 05/05/2020 08:01:22 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
02/11/2020 and conducted by Evaluator Caroline Harris
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20200211112542
FACILITY NAME:CHILD LIFE LEARNING CENTERFACILITY NUMBER:
150401000
ADMINISTRATOR:PORTER, NATASHAFACILITY TYPE:
850
ADDRESS:2515 CHURCH AVETELEPHONE:
(661) 871-0868
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:48CENSUS: 0DATE:
04/30/2020
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Erin WilcoxTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff did not provide adequate supervision resulting in children engaging in inappropriate behavior.

Licensee did not report Incident as required by Community Care Licensing.
INVESTIGATION FINDINGS:
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On 4/30/20, Licensing Program Analyst (LPA) Caroline Harris conducted a telephone call with Erin Wilcox to close the above complaint investigation. Due to the COVID-19 pandemic, no one is available to conduct an in person visit. A census was taken. The investigation revealed that staff did not provide adequate supervision of children, resulting in four different incidents of children displaying inappropriate behavior towards each other, in the classrooms and bathrooms, that were not reported to Community Care Licensing (CCL).

Based upon information obtained and interviews conducted, the preponderance of the evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2020
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 4
Control Number 04-CC-20200211112542
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: CHILD LIFE LEARNING CENTER
FACILITY NUMBER: 150401000
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/30/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/01/2020
Section Cited
CCR
101229(a)(1)
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Care and Supervision. (Zero Tolerance). No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time. This requirement was not met as evidenced by their being
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The licensee stated that her and her staff will review the CCL on-line training video, on "Supervising Children in Child Care Centers" and submit the sign in sheet along with a written plan of how they will assure
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4 different incidents where children displayed inappropriate behavior at the facility due to staff not providing adequate supervision. This is an immediate risk to the health, safety or personal rights of children in care.
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supervision of children at all times, to the Fresno CCL office upon re-opening. Licensee will contact the LPA to arrange due date.
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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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 04-CC-20200211112542
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: CHILD LIFE LEARNING CENTER
FACILITY NUMBER: 150401000
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/30/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/01/2020
Section Cited
CCR
101212(d)(1)(C)
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Reporting Requirements. Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.
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The licensee stated that she will review the CCL on-line training video, www.cdss.ca.gov on "Child Care Reporting Requirements" and submit a written statement of understanding the reporting requirements.
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Events reported shall include the following: Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement was not met as evidenced by the licensee not reporting incidents of inappropriate behavior between children to the Fresno CCL office.
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The statement will be sent to the Fresno CCL office upon re-opening. Licensee will contact the LPA to arrange due date.
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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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 04-CC-20200211112542
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: CHILD LIFE LEARNING CENTER
FACILITY NUMBER: 150401000
VISIT DATE: 04/30/2020
NARRATIVE
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California Code of Regulations, Title 22, Division 12, Chapter 1/3, are being cited on the attached LIC 9099D. "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." Child Care Parent Notification Requirements LIC 9224 was provided and discussed (LIC 9224 -Acknowledgement of Receipt of Licensing Reports).

An exit interview was conducted with Erin Wilcox. A copy of this report and appeal rights were e-mailed to Erin Wilcox and Ms. Wilcox was asked to sign the report and send a copy back to the Fresno CCL office.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2020
LIC9099 (FAS) - (06/04)
Page: 4 of 4