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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 200405989
Report Date: 01/04/2021
Date Signed: 01/04/2021 12:25:08 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
10/21/2020 and conducted by Evaluator Angelica Slaughter
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20201021095008
FACILITY NAME:KIDS KARE MADERAFACILITY NUMBER:
200405989
ADMINISTRATOR:FARRIS, SAMANTHAFACILITY TYPE:
840
ADDRESS:1844 SCHNOORTELEPHONE:
(559) 661-2106
CITY:MADERASTATE: CAZIP CODE:
93637
CAPACITY:72CENSUS: DATE:
01/04/2021
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Samantha Ferris TIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Lack of supervision resulting in daycare children engaging in inappropriate activity.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 01/04/21, Licensing Program Analyst (LPA) Angelica Slaughter conducted an unannounced follow up complaint inspection to the facility. LPA met with Director Samantha Ferris. The purpose of the inspection was to deliver the findings for the above complaint allegation.

During the course of the investigation, LPA reviewed documentation and interviewed staff and children. The interviews 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 lack of supervision resulted in daycare children engaging in inappropriate activity; therefore, the allegation is unsubstantiated.

Per California Code of Regulations, Title 22, Division 12, no deficiency is cited during today’s inspection. Appeal rights were provided. A Notice of Site Visit was given.

This report shall be made available to the public upon request. Due to COVID-19 precautions, a census was not taken on this inspection.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica SlaughterTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2021
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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