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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153808447
Report Date: 12/15/2021
Date Signed: 12/15/2021 04:12:37 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
10/07/2021 and conducted by Evaluator Jeovanna Yanez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20211007095355

FACILITY NAME:A GOOD TIME OUTFACILITY NUMBER:
153808447
ADMINISTRATOR:MELANIE SHERMANFACILITY TYPE:
830
ADDRESS:3400 CALLOWAY DRIVE, SUITE 502TELEPHONE:
(661) 410-8463
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:17CENSUS: DATE:
12/15/2021
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Karen KiserTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Unqualified staff are caring for children.
INVESTIGATION FINDINGS:
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On 12/15/2021, Licensing Program Analyst (LPAs) Jeovanna Yanez and Jessika Thompson arrived at the facility to conduct an unannounced complaint inspection. The purpose of the inspection was to deliver investigation findings for the above allegation. LPAs met with Karen Kiser and a census was taken. During the course of this investigation, LPAs reviewed pertinent records and interviewed staff and parents of children in care.

Regarding “Unqualified staff are caring for children”, record review indicated that Staff #1 is missing units needed to be considered a fully qualified infant teacher. Additionally, during staff interviews, it was indicated that Staff #1 is not currently enrolled in any courses, nor have they provided updated transcripts verifying these units have been completed.

Based upon records review and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiencies are being cited (see 9099-D). (see 9099-c)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jeovanna YanezTELEPHONE: (559) 341-5629
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 04-CC-20211007095355
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: A GOOD TIME OUT
FACILITY NUMBER: 153808447
VISIT DATE: 12/15/2021
NARRATIVE
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An exit interview was conducted with Karen Kiser. A copy of this report and Appeal Rights were provided and discussed. A Notice of Site Visit (LIC 9213) form will be posted on the facility's parent's board and must remain posted for 30 days.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jeovanna YanezTELEPHONE: (559) 341-5629
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 04-CC-20211007095355
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: A GOOD TIME OUT
FACILITY NUMBER: 153808447
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/15/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/15/2022
Section Cited
CCR
101216.1(c)(1)(A)
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(c) To be a fully qualified teacher, a teacher shall have… (1)Twelve post-secondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university …(A) The units specified … above shall include…
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Licensee understands that Staff #1 is not a fully qualified teacher; therefore, she cannot be left alone with children in care, or act in the capacity of teacher as it pertains to care and supervision of children. Licensee stated that going forward, a fully qualified teacher will be appointed as lead teacher in the infant
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child, family and community, or child and family. This requirement was not met as evidenced by: record review and staff interview. Staff #1 does not have the units specified above to be considered a fully qualified infant teacher. This poses a potential risk to the health, safety, or personal rights of children in care.
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classroom so that compliance is maintained. Licensee stated she will submit a plan to the Fresno Community Care Licensing office, by 1/15/22, specifying how staff will be reorganized to ensure there is a qualified teacher in the infant classroom at all times.
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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: Jeovanna YanezTELEPHONE: (559) 341-5629
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4