163910342-5-3-2021-04-CC-MDUE-C2XUVL-20210512155519

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 163910342
Report Date: 04/30/2021
Date Signed: 05/03/2021 04:31:16 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
03/04/2021 and conducted by Evaluator Kathy Pacheco

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210304120900

FACILITY NAME:	HICKS, DANYUELL FAMILY CHILD CARE		FACILITY NUMBER:	163910342
ADMINISTRATOR:	HICKS, DANYUELL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 410-8140
CITY:	HANFORD	STATE: CA	ZIP CODE:	93230
CAPACITY:	14	CENSUS: 7	DATE:	04/30/2021
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Danyuell Hicks		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Licensee does not properly maintain the home

INVESTIGATION FINDINGS:

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On 4/30/2021, Licensing Program Analyst (LPA) Kathy Pacheco conducted an unannounced follow up complaint inspection to the facility and met with Licensee Danyuell Hicks to deliver the findings for the above complaint allegation.

During the course of the investigation, LPA Pacheco inspected the facility and conducted interviews. The interviews and inspection revealed inconsistencies in the above allegation. Although the allegtion may have happened or may be valid, there is not a preponderance of the evidence to prove Licensee does not properly maintain the home; therefore, the allegation is unsubstantiated. Per California Code of Regulations, Title 22, Division 12, no deficiency was cited today.

Exit interview was conducted with Licensee and Licensee was provided with copies of the Notice of Site Visit form (LIC 9213), Complaint Investigation Report (LIC 9099), and appeal rights. The LIC 9099 is required to remain in the facility for public review and the LIC 9213 is required to be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Kathy Pacheco	TELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2021

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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