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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 150405400
Report Date: 08/06/2019
Date Signed: 08/06/2019 11:50:55 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
07/02/2019 and conducted by Evaluator Peter Espinoza
COMPLAINT CONTROL NUMBER: 04-CC-20190702114249
FACILITY NAME:GREENFIELD COUNTRY PRE-SCHOOLFACILITY NUMBER:
150405400
ADMINISTRATOR:HASKINS/HALLFACILITY TYPE:
840
ADDRESS:7690 S. UNION AVENUETELEPHONE:
(661) 834-8184
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY:25CENSUS: 28DATE:
08/06/2019
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Traci Myers, Assistant DirectorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff failed to prevent day care children from comingling
INVESTIGATION FINDINGS:
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An amended report dated 08/06/2019 supersedes the Complaint Report issued on 07/08/2019.
Licensing Program Analyst (LPA) Pete Espinoza arrived at the facility unannounced to initiate/complete the investigation into the above allegation. LPA met with Traci Myers, Assistant Director. LPA explained the allegation and toured the facility both inside and outside as shown on facility sketch. Census was taken.
Based upon observations and information gathered through interviews, the Licensing agency has determined the preponderance of evidence standards has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter (1/3), are being cited on the attached LIC 9099D.
An exit interview was conducted with Traci Myers, Assistant Director, a plan of correction was discussed, and appeal rights were explained. A printed copy of this report as well as a printed copy of the appeal rights was provided at the conclusion of the visit.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2019
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-20190702114249
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: GREENFIELD COUNTRY PRE-SCHOOL
FACILITY NUMBER: 150405400
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/12/2019
Section Cited
CCR
101538.3(b)
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Indoor Activity Space for school-age Children - In combination programs, indoor activity space provided for school-age child care center children shall be physically separated from space provided for infant care and child care center children. This requirement is not met as
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Licensee will write a statement and send to Fresno Regional Office by 08/12/2019, indicating they understand the regulations regarding co-mingling of children in licensed facilities.
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evidenced by a interviews conducted during complaint investigation. Licensee allowed preschool child to commingle with School-age children on more than one occasion.
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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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2