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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153907340
Report Date: 08/26/2019
Date Signed: 08/26/2019 02:16:18 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
08/05/2019 and conducted by Evaluator Caroline Harris
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20190805163313
FACILITY NAME:SCHMIDT DAYCAREFACILITY NUMBER:
153907340
ADMINISTRATOR:SCHMIDT, KIMBERLIE & JOHNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 735-7588
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:14CENSUS: 5DATE:
08/26/2019
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Kimberlie SchmidtTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Licensee using inappropriate forms of punishment.
INVESTIGATION FINDINGS:
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An unannounced complaint visit was conducted today by LPA Caroline Harris. LPA met with Licensee, Kimberlie Schmidt. LPA toured the facility and census taken. The purpose of today’s visit was to close the above complaint investigation. The investigation revealed the following:

On 8/5/19 it was reported to the Fresno CCL office that the licensee was using inappropriate forms of discipline. Based upon information obtained, the LPA's observations and interviews conducted, the preponderance of the evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

California Code of Regulations, Title 22, Division 12, Chapter 3, are being cited on the attached LIC 9099D.
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: 08/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2019
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-20190805163313
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: SCHMIDT DAYCARE
FACILITY NUMBER: 153907340
VISIT DATE: 08/26/2019
NARRATIVE
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Exit interview conducted with licensee, Kimberlie Schmidt. A copy of this report and appeal rights were provided. A Notice of Site Visit Form was posted on parent's board and must remain posted for 30 days.

The licensee shall post and provide copies of this licensing report to parents/guardians of children in care and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of this report must be given to each enrolled child's parent(s). The licensee was provided a copy of the "Fact Sheet" for AB 633 (Parent Notification Requirements), along with a copy of the relevant documents this date. The licensee must implement the new procedure immediately, by having all parents of enrolled children sign the Acknowledgement of Receipt of Licensing Reports and must retain a copy in each child's file.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20190805163313
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: SCHMIDT DAYCARE
FACILITY NUMBER: 153907340
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/06/2019
Section Cited
CCR
102423(a)(4)
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Personal Rights. Each child shall be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting;
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Licensee stated she will not use off limits rooms for time outs and will only use an area in the hall so that children can be supervised. The licensee will also update and detail her discipline plan and will provide copies to the parents.
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or withholding shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by the complaint investigation findings. This is an immediate risk to the health, safety or personal rights of children in care.
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This plan will be provided to the LPA by the due date of 9/6/19.
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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: 08/26/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3