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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 203801809
Report Date: 07/07/2021
Date Signed: 07/07/2021 04:54:13 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
07/01/2021 and conducted by Evaluator Cynthia Brannon
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20210701140507
FACILITY NAME:MADERA CHILD DEVELOPMENT CENTER*FACILITY NUMBER:
203801809
ADMINISTRATOR:GARCIA, RACHELFACILITY TYPE:
850
ADDRESS:1205 SONORA STREETTELEPHONE:
(559) 674-1972
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY:84CENSUS: DATE:
07/07/2021
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Veronica O'DonovanTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Classroom's AC is in disrepair.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Brannon conducted an unannounced complaint inspection to provide findings for the above allegation, Classroom's AC is in disrepair. During today’s visit, LPA Brannon interviewed staff and reviewed facility records. LPA Brannon met with Assistant Site Supervisor, Veronica O'Donovan. LPA Brannon explained the allegation, and toured the facility, inside and outside. LPA Brannon observed four classrooms with the following temperatures: classroom # 1 with 78 degrees, classroom #2 with 75 degrees, classroom #3 with 73 degrees and classroom #4 with 81 degrees. Classroom #4 had the highest degrees but was also humid, whereas the other three classrooms were cool without the humidity. The AC unit has been serviced the past months without being repaired to provide the cool temperatures in classroom #4, without the humidity.


CONTINUED ON FOLLOWING PAGE
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 04-CC-20210701140507
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: MADERA CHILD DEVELOPMENT CENTER*
FACILITY NUMBER: 203801809
VISIT DATE: 07/07/2021
NARRATIVE
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During the course of this investigation, LPA made observations and conducted interviews. Based upon LPA Brannon’s observations, and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is to be cited. Exit interview conducted with Assistant Site Supervisor, Veronica O'Donovan. Plan Of Correction/Appeal Rights were given and discussed. A Notice of Site Visit posted on the parent bulletin board.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20210701140507
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: MADERA CHILD DEVELOPMENT CENTER*
FACILITY NUMBER: 203801809
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/07/2021
Section Cited
CCR
101239(a)
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Fixtures, Furniture, Equipment and Supplies. A comfortable temperature for children shall be maintained at all times. This requirement was not met as evidenced by interviews and LPA's observation that classroom #4 was hot and humid. The AC unit in this classroom has been serviced but not working properly to ensure children in care are comfortable.
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Per Assistant Site Supervisor, she immediately moved children into the other classrooms. Licensee did not inform staff that children can be moved into other classrooms until today. Children will remain in the other classrooms until the AC unit in classroom #4 has been repaired and provides cool air without the humidity. Temperatures in Madera
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The AC unit has been faulty for over two weeks. This facilty has four classrooms. The other three classrooms were cool and comfortable. Licensee did not provide guidance to staff to move the children into the other three classrooms. This is a potential personal rights, health and safety risk to children in care.
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are estimated to reach 110 degrees by Friday, 111 degrees by Monday and 107 degrees by Tuesday.
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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: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3