<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 240405359
Report Date: 01/24/2020
Date Signed: 01/24/2020 11:51:46 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
11/21/2019 and conducted by Evaluator Joseph Pacheco
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20191121100405
FACILITY NAME:BEAR COUNTRY PRESCHOOL & DAY CAREFACILITY NUMBER:
240405359
ADMINISTRATOR:WOLF, REGINA R.FACILITY TYPE:
840
ADDRESS:2115 WARDROBE AVENUETELEPHONE:
(209) 722-2327
CITY:MERCEDSTATE: CAZIP CODE:
95340
CAPACITY:25CENSUS: 0DATE:
01/24/2020
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Regina Wolf - DirectorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Provider failed to secure child in car seat.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/24/2020 Licensing Program Analyst (LPA) Joseph Pacheco conducted a complaint inspection to the facility and met with Director, Regina Wolf. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA conducted interviews with Complainant, Director, day care staff, day care children and parents of day care children. Based on the information obtained during the investigation, there is a preponderance of the evidence to prove the facility failed to secure child in car seat; therefore, the allegation is substantiated.
Per California Code of Regulations, Title 22, Division 12, Chapter 1 the following deficiency is found (See LIC9099-D):

Upon receipt, facility 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. A copy of the LIC 9224, the report and appeal rights were provided to the Director. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
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 2
Control Number 04-CC-20191121100405
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: BEAR COUNTRY PRESCHOOL & DAY CARE
FACILITY NUMBER: 240405359
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/24/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/27/2020
Section Cited
CCR
101225(d)
1
2
3
4
5
6
7
Transportation. All vehicle occupants shall be secured in an appropriate restraint system. This regulation was not met as evidenced by information obtained by LPA from interviews indicating facility failed to secure child in appropriate restraint system.
1
2
3
4
5
6
7
Director to meet with staff to discuss regulations and provide a written plan to LPA by 1/27/20 ensuring how this will not occur in the future.
8
9
10
11
12
13
14
This is an immediate risk to the health and safety or personal rights of children in care.
8
9
10
11
12
13
14
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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2