163801784-5-27-2021-04-CC-MDUE-C53VYG-20210719165108

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 163801784
Report Date: 05/27/2021
Date Signed: 05/27/2021 03:36:40 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
04/23/2021 and conducted by Evaluator Ruby Ocegueda

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210423084009

FACILITY NAME:	CARRIE'S CHILDCARE CONNECTION		FACILITY NUMBER:	163801784
ADMINISTRATOR:	RISK, CARRIE		FACILITY TYPE:	840
ADDRESS:	255 VINE STREET		TELEPHONE:	(559) 924-6202
CITY:	LEMOORE	STATE: CA	ZIP CODE:	93245
CAPACITY:	94	CENSUS: 0	DATE:	05/27/2021
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Carrie Risk		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Lack of supervision resulting in day care child hitting another child.

Child(ren) are signed in and out by unauthorized representative.

INVESTIGATION FINDINGS:

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On 5/27/2021 Licensing Program Analyst (LPA) Ruby Ocegueda conducted an in-person complaint inspection. LPA met with licensee Carry Risk in order to discuss complaint closure and deliver the findings to the above complaint allegations. Upon arriving, LPA provided identification and conducted Covid-19 safety screening questions and observed all recommended common-sense safety precautions. LPA took a census and toured the facility.

During the course of this investigation, LPA Ocegueda conducted interviews of the Reporting Party (RP), Licensee, staff, parent(s), child(ren) and reviewed facility records.

On 4/27/2021, LPA's Ocegueda and Gibson observed children who were unsupervised in the play yard. Children had free range (between the main building, play yard and bungalow building) of the facility.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

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 4

Control Number 04-CC-20210423084009

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: CARRIE'S CHILDCARE CONNECTION	FACILITY NUMBER: 163801784
	VISIT DATE: 05/27/2021

NARRATIVE

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At times it was observed that there was no supervision during the transition between outside and inside, specifically while children walked though from the outside to the room at the back of the facility that has multiple storage cubbies. The Information gathered via observation and interview(s), (including statement from licensee that she was currently training her new staff has provided evidence to support the allegation regarding supervision.

On 4/27/2021, LPA's observed staff signatures on sign in and out sheets during drop off at the facility and pick up from the facility. Copies were taken. LPA explained that the regulation indicates that authorized representative must sign the child in or out of the facility and that person who drops off and picks up the child from the facility must sign them in and out. Per licensee, sign in and out procedures only changed due to Covid-19. LPA reviewed waiver that is required to be submitted by licensee in order to have staff sign in and out for Covid-19 related purposes and that licensee notifying the parents in writing was not sufficient. LPA encouraged licensee to review the provider information notices (PINS) and participate in Department licensing calls that are offered to get the most up to date information regarding waivers and updates as it relates to Covid-19. The information gathered via record review and interview has provided evidence to support the allegation regarding sign in and out procedures.

This agency has investigated the complaint allegations stating that "lack of supervision resulting in day care child hitting another child" and "child(ren) are signed in and out by unauthorized representative". The Department has found that the complaint was SUBSTANTIATED, meaning the preponderance of evidence standard has been met.

Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, the following deficiencies were cited today (see 9099-D).An exit interview was conducted with licensee Carrie Risk and a copy of Appeal Rights were provided.

A copy of LIC 9224 (Acknowledgement of Receipt of Licensing Reports) was provided to licensee and instructions on how to complete this form was reviewed. A copy of this report must be made available to all parents of currently enrolled children and to the parents of any newly enrolled children for the next 12 months. LIC 9224 must be in each child's file.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

LIC9099 (FAS) - (06/04)

Page: 4 of 4

Control Number 04-CC-20210423084009

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: CARRIE'S CHILDCARE CONNECTION	FACILITY NUMBER: 163801784
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/27/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/28/2021 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation. This requirement was not met as evidenced by: observation and interview. On 4/27/2021, LPA's observed children unsupervised while in the play yard and while	1 2 3 4 5 6 7	Licensee stated that she has implemented new supervision strategies to insure children are 100 percent supervised at all times (both inside and outside). Licensee provided training to her staff. Licensee will provide a written statement indicating how she plans .
	8 9 10 11 12 13 14	transitioning between outside and inside. Information gathered indicates that lack of supervision has occured in the facility and as a result, staff are unaware when children fight or hit others. This poses an immediate risk to the health, safety and or personal rights to children in care.	8 9 10 11 12 13 14	to continue to follow supervision requirements and submit an agenda of training. All staff will sign agendaThis statement and agenda of training outline will be due by POC date: 5/28/2021.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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 Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 04-CC-20210423084009

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: CARRIE'S CHILDCARE CONNECTION	FACILITY NUMBER: 163801784
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/27/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/24/2021 Section Cited CCR 101229.1(b)	1 2 3 4 5 6 7	The person who brings the child to, and removes the child from, the center shall sign the child in/out. This requirement was not met as evidenced by: record review and interview. On 4/27/2021, LPA's observed that sign in and out sheets were signed by staff #1 at initial drop off times.	1 2 3 4 5 6 7	Licensee stated that she will be providing a statement indicating that she undestands the regulation requiring authorized representatives to sign their .
	8 9 10 11 12 13 14	Photos were taken. Sign in and out waivers for Covid-19 were discussed as a possible option. Licensee was advised that previous Provider Information Notices (PINS) addressed different Covid-19 waivers. This poses a potential risk to the health, safety and/or personal rights of children in care.	8 9 10 11 12 13 14	children in and out at initial drop off and last pick up time. This statement is due by POC date: 6/24/2021
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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 Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

LIC9099 (FAS) - (06/04)

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