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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153809512
Report Date: 06/09/2020
Date Signed: 06/09/2020 11:59:05 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
03/26/2020 and conducted by Evaluator Cynthia Brannon
COMPLAINT CONTROL NUMBER: 04-CC-20200326154150
FACILITY NAME:ALCALA, CONSUELO FAMILY CHILD CAREFACILITY NUMBER:
153809512
ADMINISTRATOR:ALCALA, CONSUELOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 835-1012
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:14CENSUS: DATE:
06/09/2020
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Consuelo AlcalaTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Uncleared adult was living in the family child care home.
INVESTIGATION FINDINGS:
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On June 9, 2020, Licensing Program Analyst (LPA) Brannon conducted a telephone investigation pertaining to the above complaint allegation. Due to COVID-19 restrictions on physical inspections, an on-site inspection could not be made today. The purpose of this call was to provide findings regarding the above complaint allegation. LPA Brannon spoke with licensee, Consuelo Alacala. During the course of this investigation, tele-communication visit and telephone interviews were conducted. Based upon the interviews conducted, licensee admitted that adult #1 was residing in her home since May 23, 2019. Adult #1 was not associated to licensee’s facility during this time. Adult #1 was associated to facility on April 7, 2020.
Based upon information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

CONTINUED ON FOLLOWING PAGE
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2020
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 3
Control Number 04-CC-20200326154150
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: ALCALA, CONSUELO FAMILY CHILD CARE
FACILITY NUMBER: 153809512
VISIT DATE: 06/09/2020
NARRATIVE
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 Type A deficiency was cited. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A completed signed copy of the LIC 9224 will be placed in each child’s file.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is to be cited. Exit interview conducted with licensee, Consuelo Alcala. Plan Of Correction/Appeal Rights were given and discussed.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20200326154150
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: ALCALA, CONSUELO FAMILY CHILD CARE
FACILITY NUMBER: 153809512
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/09/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/16/2020
Section Cited
CCR
101170(e)(2)
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Criminal Record Clearance.
Request a transfer of a criminal record clearance as specified in Section 101170(f). This requirement was not met as evidence by licensee stating that adult #1 was residing in the home, off and on, since May 23, 2019.
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Adult #1 was associated to facilty on April 7, 2020. Licensee shall provide a copy of her procedure when allowing adults to reside in her home.
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A civil penalty of $100 has been issued and payable upon receipt of bill.
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Licensee shall provide a copy of her procedure to the Fresno
Community Care Licensing office by June 16, 2020.
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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: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2020
LIC9099 (FAS) - (06/04)
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