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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153808781
Report Date: 09/15/2022
Date Signed: 09/15/2022 12:40:16 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 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
07/06/2022 and conducted by Evaluator Jose Penate
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20220706135905
FACILITY NAME:CALIFORNIA IVY LEAGUE PREP ACADEMY, PS & ICFACILITY NUMBER:
153808781
ADMINISTRATOR:MILLER, AMYFACILITY TYPE:
840
ADDRESS:2301 ASHE ROADTELEPHONE:
(661) 832-8300
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:40CENSUS: 0DATE:
09/15/2022
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Director, Amy MillerTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Inappropriate interaction between children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/15/2022, An unannounced complaint inspection was conducted today by Licensing Program Analysts (LPA), Jose Penate. LPA met with Director, Amy Miller. Purpose of today's inspection is to close the complaint investigation. During investigation, LPA interviewed staff, interviewed children, gathered police reports and reviewed facility records.

Based off interviews conducted it was undetermined that Inappropriate interaction between children took place at the facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency cited.

Exit interview conducted with Director, Amy Miller.

Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
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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