163808877-9-9-2021-04-CC-MDUE-C7JUPQ-20211006154554

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 163808877
Report Date: 09/09/2021
Date Signed: 09/09/2021 11:37:49 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
07/08/2021 and conducted by Evaluator Ruby Ocegueda

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210708094419

FACILITY NAME:	BUILDING BLOCKS TO LEARNING CHILDCARE		FACILITY NUMBER:	163808877
ADMINISTRATOR:	PUGA, VERONICA		FACILITY TYPE:	850
ADDRESS:	10769 14TH AVE.		TELEPHONE:	(559) 772-8400
CITY:	ARMONA	STATE: CA	ZIP CODE:	93202
CAPACITY:	34	CENSUS: 31	DATE:	09/09/2021
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Theresa Martin		TIME COMPLETED:	11:50 AM

ALLEGATION(S):

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Day care child ingested rocks resulting in emergency medical attention

Day care child was injured by another child in care

INVESTIGATION FINDINGS:

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On 9/9/2021, Licensing Program Analyst (LPA) Ruby Ocegueda conducted a complaint inspection for the purpose of delivering the findings of addressing the above named allegations. LPA Ocegueda first met with lead teacher/manager Myiah Moroles upon arrival and later met with Director Theresa Martin. LPA explained the reason for the inspection and provided identification upon arrival. LPA toured the facility and took a census.

During the course of the investigation, LPA Ocegueda conducted interviews of Licensee, staff, day care parents and complainant. LPA reviewed records obtained by the department. This agency has investigated the complaint allegations stating that day care child ingested rocks resulting in emergency medical attention and day care child was injured by another child in care and have found that the complaint was SUBSTANTIATED, meaning the preponderance of evidence standard has been met.

Report continued on 9099-C

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: 09/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021

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-20210708094419

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: BUILDING BLOCKS TO LEARNING CHILDCARE	FACILITY NUMBER: 163808877
	VISIT DATE: 09/09/2021

NARRATIVE

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In addition to interviews, upon arrival on 9/9/2021, Licensing Program Analyst (LPA) Ocegueda observed that approximately five children were lacking supervision as they were in a corner of a play ground (next to the fence and wall) without any staff supervising the children. Some of the children were observed pointing and wailing their arms at another child. The children eventually dispersed after approximately 90 seconds and ran back the the play yard on their own. This observation provided further evidence for the complaint allegations as it indicates that a lack of supervision likely existed while child #1 ingested rocks and was injured by another child.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiency was cited (see LIC 9099-D).

An Exit interview was conducted with Director Theresa Martin. A copy of this report and appeal rights were provided to Director. LPA also provided Director and reviewed “Acknowledgment of Receipt of Licensing Form” (LIC 9224). Upon receipt, licensee and or Director 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.

Copy of Notice of Site Visit LIC 9213 will 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: 09/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021

LIC9099 (FAS) - (06/04)

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Control Number 04-CC-20210708094419

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: BUILDING BLOCKS TO LEARNING CHILDCARE	FACILITY NUMBER: 163808877
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/09/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/10/2021 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision. (a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.	1 2 3 4 5 6 7	Director stated that there will be a teacher in each corner of the playground. Director or Licensee will submit a written plan for supervision and present it to their staff. Each staff will provide signature acknowledging they understand the supervision requirements reviewed with them.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: interviews and observation. The lack of supervison made it possible for child #1 to ingest several rocks and be injured with a wood block by another child. This poses an immediate risk to the health, safety and or personal rights of children in care.	8 9 10 11 12 13 14	Proof will be submitted by POC date 9/10/2021.
	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: 09/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021

LIC9099 (FAS) - (06/04)

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