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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153806094
Report Date: 04/16/2024
Date Signed: 04/16/2024 12:13:56 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 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
02/25/2024 and conducted by Evaluator Jose Penate
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20240225223030
FACILITY NAME:LIL' ANGELES DAY CAREFACILITY NUMBER:
153806094
ADMINISTRATOR:GODOY, LILIBETHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 703-6797
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY:14CENSUS: 3DATE:
04/16/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Licensee, Lilibeth GodoyTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Licensee made inappropriate comments towards a daycare child
INVESTIGATION FINDINGS:
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On 04/16/2024, An unannounced complaint inspection was conducted by Licensing Program Analyst (LPA), Jose Penate. LPA met with Licensee, Lilibeth Godoy. LPA advised the purpose of today's inspection is to close the complaint investigation. During investigation, LPA interviewed staff, interviewed parents, interviewed children, reviewed facility records, and observations made by LPA.

With the allegation of, Licensee made inappropriate comments towards a daycare child, has been investigated and based off of interviews conducted, licensee admitted to telling a child that if he/she used profanity at the daycare that the result would be that, spiders and bugs would come out of their mouth. This is a violation of the Personal Rights of children in care.

This agency has investigated the complaint. After interviews and LPA observations the above complaint allegation and 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:
SUPERVISOR'S NAME: Gloria ReyesTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
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 5
Control Number 57-CC-20240225223030
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: LIL' ANGELES DAY CARE
FACILITY NUMBER: 153806094
VISIT DATE: 04/16/2024
NARRATIVE
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Per California Code of Regulations, Title 22, Division 12, the following deficiency is being cited on the attached LIC9099D, see next page.

Exit interview was conducted with Licensee, Lilibeth Godoy.

A Notice of Site Visit Form was posted and must remain posted for 30 days.
SUPERVISOR'S NAME: Gloria ReyesTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 57-CC-20240225223030
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: LIL' ANGELES DAY CARE
FACILITY NUMBER: 153806094
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/16/2024
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule,
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Licensee will ensure to not speak to children inappropriately and to follow proper discipline with all children in care to not violate childrens personal rights.
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coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. Based on interviews conducted and LPA observations of items listed on LIC 9099. This poses a potential health, safety or personal rights risk to children in care.
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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: Gloria ReyesTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5