163803456-10-28-2021-04-CC-SFAG-C8X2HB-20211119162426

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 163803456
Report Date: 10/28/2021
Date Signed: 10/28/2021 02:39:13 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
08/23/2021 and conducted by Evaluator Robert Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210823125339

FACILITY NAME:	ALANIS FAMILY CHILD CARE		FACILITY NUMBER:	163803456
ADMINISTRATOR:	ALANIS, TERESA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 386-5427
CITY:	AVENAL	STATE: CA	ZIP CODE:	93204
CAPACITY:	14	CENSUS: 5	DATE:	10/28/2021
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Teresa Alanis		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Uncleared adult living in the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Robert Gutierrez conducted an unannounced complaint inspection to provide findings. LPA met with Teresa Alanis also present were assistant #1 and adult #1. Licensee accompanied LPA during a tour of facility both inside and outside. LPA discussed the allegation and took a census. During todays inspection LPA observed Adult #1 laying down in the master bedroom closet. This closet was converted into a bedroom and the door was locked. LPA opened the door and observed clothing, a bed, television in the converted closet. Adult #1 stated they were recently released from jail and was just trying to repair the fence. Licensee and assistant #1 agreed with Adult #1. Licensee then stated she was unaware Adult #1 was at the facility. During the course of the investigation LPA interviewed staff, witnesses, reviewed facility records and obtained police reports.

Based on interviews and observations conducted it was determined Adult #1 is living in the facility.

Continued on 9099-C

Substantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert Gutierrez	TELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021

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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Control Number 04-CC-20210823125339

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: ALANIS FAMILY CHILD CARE	FACILITY NUMBER: 163803456
	VISIT DATE: 10/28/2021

NARRATIVE

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Per California Code of Regulations, Title 22, Division 12, Chapter 3, this deficiency is being cited on the attached LIC 9099D.

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." 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. A completed signed copy of the LIC 9224 will be placed in each child's file.

An exit interview conducted with Licensee, Teresa Alanis. A copy of this report and Appeal Rights were provided and discussed with Teresa Alanis.
A Notice of Site Inspection Form was posted to parent's board and must remain posted for 30 days.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert Gutierrez	TELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 04-CC-20210823125339

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: ALANIS FAMILY CHILD CARE	FACILITY NUMBER: 163803456
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/28/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/28/2021 Section Cited CCR 102370(a)	1 2 3 4 5 6 7	Criminal Record Clearance. Prior to the Department issuing a license, the applicant(s) and all adults residing in the home shall obtain a California criminal record clearance or exemption. During inspection, LPA observed clothing, television, a bed in a converted closet.	1 2 3 4 5 6 7	Licensee had Adult #1 leave the facility. Licensee stated Adult #1 shall not return until a fingerprint clearance is granted. Adult #1 shall live with his sister in Coalinga until a clearance is granted.
	8 9 10 11 12 13 14	Adult #1 was laying on the bed and insisted he was at the facility just repairing the fence. This poses as a potential risk to the health, safety, or personal rights of children in care. A civil penalty of $500 dollars was issued during today's inspection.	8 9 10 11 12 13 14	Licensee was made aware this citation shall be reviewed by management for further review and a meeting could be required.
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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 Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert Gutierrez	TELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021

LIC9099 (FAS) - (06/04)

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