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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 163908437
Report Date: 11/09/2022
Date Signed: 11/29/2022 11:19:46 AM

Unsubstantiated


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
09/15/2022 and conducted by Evaluator Nancy Her
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20220915114516
FACILITY NAME:CHAVEZ-ANDRADE, YNEZ FAMILY CHILD CAREFACILITY NUMBER:
163908437
ADMINISTRATOR:CHAVEZ-ANDRADE, YNEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 836-0876
CITY:KETTLEMAN CITYSTATE: CAZIP CODE:
93239
CAPACITY:14CENSUS: 3DATE:
11/09/2022
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Ynez Chavez-AndradeTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not properly supervise daycare child.
Licensee did not transport daycare child in a motor vehicle in a safe manner.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/09/2022 Licensing Program Analyst (LPA) Nancy Her arrived unannounced at the home to close a complaint investigation regarding the above allegations. LPA toured of facility both inside and outside and a census was taken. The investigation consisted of interviews with the licensee, witnesses, and complainant.

This agency has investigated the complaint alleging Licensee did not properly supervise daycare child and Licensee did not transport daycare child in a motor vehicle in a safe manner. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore the allegations are UNSUBSTANTIATED.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with the facility representative Ynez Chavez-Andrade.

Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Nancy HerTELEPHONE: (559) 341-5422
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
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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