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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153808574
Report Date: 07/08/2021
Date Signed: 07/08/2021 03:33:43 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
04/30/2021 and conducted by Evaluator Caroline Harris
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20210430152924
FACILITY NAME:WILLOW CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153808574
ADMINISTRATOR:JONES, NIKOLAFACILITY TYPE:
850
ADDRESS:401 WILLOW DRIVETELEPHONE:
(661) 336-5236
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY:56CENSUS: 0DATE:
07/08/2021
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Luz AdamsTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff are not following sick procedures for day care children.

Day care children are not being treated fairly.

INVESTIGATION FINDINGS:
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On 7/8/21 Licensing Program Analyst (LPA) Caroline Harris, conducted a telephone call with Program Manager, Luz Adams as the facility was closed for the summer. The LPA explained the above listed allegations to Mrs. Adams. The purpose of today’s call was to close the complaint investigation. The investigation consisted of interviews with the Site Supervisor II, staff, parents, as well as a facility records review.

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.

California Code of Regulations, Title 22, Division 12, Chapter 1, are being cited on the attached LIC 9099-D. An exit interview was conducted with Luz Adams. A copy of this report, along with appeal rights, were e-mailed to Mrs. Adams and Mrs. Adams was asked to sign the bottom of the report and e-mail a copy back to the LPA.
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: 07/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021
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-20210430152924
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: WILLOW CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153808574
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/08/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/13/2021
Section Cited
CCR
101223(a)(2)
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Personal Rights- To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by staff not following the centers sick policies and
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The director agrees to update the centers sick policies and procedure's by 8/20/21 and train all staff by 8/13/21. A copy of the training sign in sheet will be submitted to the Fresno CCL office by the due date of 8/13/21.
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procedure's and based on the LPAs review of the policies stating conflicting information. This is a possible risk to the health, safety or personal rights of children in care.
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Type B
08/13/2021
Section Cited
CCR
101223(a)(3)
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Personal Rights- The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion.....
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The director agrees to have all staff watch the training video, "Children's Personal Rights in Child Care" on the CCL website and submit the sign in sheet to the Fresno CCL office by the due date of 8/13/21.
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This requirement was not met as evidenced by interviews conducted and information obtained during the inspection. This is a possible risk to the health, safety or personal rights of 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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2