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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 163801067
Report Date: 05/03/2023
Date Signed: 05/03/2023 10:22:47 AM

Substantiated


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
03/30/2023 and conducted by Evaluator Candis Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20230330123948
FACILITY NAME:PRESTON J. GREEN, SR., LEARNING CENTERFACILITY NUMBER:
163801067
ADMINISTRATOR:SIBRIAN, BARBARAFACILITY TYPE:
850
ADDRESS:11411 SOUTH ELEVENTH AVENUETELEPHONE:
(559) 582-5184
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:170CENSUS: 111DATE:
05/03/2023
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Barbara SibrianTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff did not prevent day care child from being injured by another child in care
INVESTIGATION FINDINGS:
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On 05/03/2023, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced complaint inspection at facility. LPA met with Director Barbara Sibrian, explained purpose of inspection and took a census.
Investigation revealed that staff were present and witnessed Child #1 scratch Child #2 on the face while both children were inside the outdoor play structure tunnel, and staff immediately intervened. Based on interviews with multiple staff, Reporting Party, and Site Supervisor, and record review, it was determined the incident did occur facility and Child #2 was injured by Child #1.
Therefore, the preponderance of evidence standard has been met, and the allegation is found to be Substantiated.
Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see LIC 9099-D). Site Supervisor was provided a copy of the appeal rights. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 341-4117
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
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
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
03/30/2023 and conducted by Evaluator Candis Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20230330123948

FACILITY NAME:PRESTON J. GREEN, SR., LEARNING CENTERFACILITY NUMBER:
163801067
ADMINISTRATOR:SIBRIAN, BARBARAFACILITY TYPE:
850
ADDRESS:11411 SOUTH ELEVENTH AVENUETELEPHONE:
(559) 582-5184
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:170CENSUS: 111DATE:
05/03/2023
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Barbara SibrianTIME COMPLETED:
10:45 AM
ALLEGATION(S):
1
2
3
4
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9
Staff do not properly supervise day care children
INVESTIGATION FINDINGS:
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On 05/03/2023, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced complaint inspection at facility. LPA met with Director Barbara Sibrian, explained purpose of inspection and took a census.
Investigation revealed that Child #1 does have a Behavior Support Plan in place and facility staff are aware and trained to assist Child #1, including shadowing while playing around other children. LPA obtained copies of Behavior Support Plan as well as a Case Conference Report. Based on interviews with multiple staff and record review, facility had adequate staff members supervising children, were within ratio, and all were positioned strategically around the play area at time of incident.
Based on interviews conducted and documents reviewed, investigation could not reveal that Staff do not properly supervise day care children. Therefore, although allegations above may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.
Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies cited. Site Supervisor was provided a copy of the appeal rights. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 341-4117
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
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 3
Control Number 57-CC-20230330123948
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: PRESTON J. GREEN, SR., LEARNING CENTER
FACILITY NUMBER: 163801067
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/10/2023
Section Cited
CCR
101223(a)
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101223(a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
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Facility had a Behavior Action Plan in place prior to and at time of incident. Facility has held follow up conferences with staff and other involved parties to discuss protocols to ensure the health and safety of all children, as well as support planning for Child #1.
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Based on interview and record review, it was determined that Child #2 was injured by Child #1. This poses a potential risk to the health, safety, and personal rights of children in care.
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LPA obtained copies of these plans and Site Supervisor stated facility will continue to reassess support plans as often as necessary, and continue to shadow Child #1. POC cleared today, 05/03/2023.
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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: Susie FanningTELEPHONE: (559) 341-4117
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC9099 (FAS) - (06/04)
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