150401000-4-28-2021-04-CC-AJUZ-C3CVZU-20210525165320

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 150401000
Report Date: 04/28/2021
Date Signed: 04/28/2021 11:02:48 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
04/21/2021 and conducted by Evaluator Caroline Harris

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210421093219

FACILITY NAME:	CHILD LIFE LEARNING CENTER		FACILITY NUMBER:	150401000
ADMINISTRATOR:	BELTRAN,PERRY		FACILITY TYPE:	850
ADDRESS:	2515 CHURCH AVE		TELEPHONE:	(661) 871-0868
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93306
CAPACITY:	48	CENSUS: 42	DATE:	04/28/2021
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Perri Beltran		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Lack of supervision resulting in day care child sustaining unexplained injuries.

INVESTIGATION FINDINGS:

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On 4/28/21 an unannounced complaint visit was conducted today by Licensing Program Analyst (LPA) Caroline Harris. LPA met with Acting Director, Perri Beltran. The LPA toured the facility both inside and outside and a census was taken. The purpose of today’s visit was to open the above complaint investigation. The investigation revealed the following:

Based upon information and interviews conducted, the preponderance of the evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

California Code of Regulations, Title 22, Division 12, Chapter 1, are being cited on the attached LIC 9099D. An exit interview was conducted with Acting Director, Perri Beltran. A copy of this report and appeal rights were provided. A Notice of Site Visit Form was posted on the parent's board and must remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021

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-20210421093219

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: 04/28/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/14/2021 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	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 a child sustaining	1 2 3 4 5 6 7	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
	8 9 10 11 12 13 14	unexplained injuries at the facility, due to staff not providing adequate supervision. This is a possible risk to the health, safety or personal rights of children in care.	8 9 10 11 12 13 14	supervision of children at all times, to the Fresno CCL office by the due date of 5/14/21.
	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: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021

LIC9099 (FAS) - (06/04)

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