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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 243801263
Report Date: 03/24/2022
Date Signed: 03/28/2022 08:33:41 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
03/09/2022 and conducted by Evaluator Roman Iglesias
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220309101915
FACILITY NAME:HILMAR CHRISTIAN CHILDREN'S CENTERFACILITY NUMBER:
243801263
ADMINISTRATOR:OLIVEIRA, LESLIEFACILITY TYPE:
840
ADDRESS:20037 W. AMERICAN AVENUETELEPHONE:
(209) 632-2273
CITY:HILMARSTATE: CAZIP CODE:
95324
CAPACITY:70CENSUS: 47DATE:
03/24/2022
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:OLIVEIRA, LESLIETIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff do not provide appropriate care supervision to children in care
INVESTIGATION FINDINGS:
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 On 03/24/2022, Licensing Program Analysts (LPA), Roman Iglesias, conducted an unannounced complaint inspection to provide findings. LPA met with Director, Leslie Oliveira and staff #1, who accompanied LPA during the indoor/outdoor tour of the facility. LPA took a census and discussed the allegation.
During the course of the investigation, LPA interviewed staff, reviewed "ouch reports", and made observations.
Based upon observations, file review, 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, the deficiency is being cited on the attached LIC 9099-D.
An exit interview was conducted with Director, Leslie Oliveira. A copy of this report and Appeal Rights were provided and discussed with Ms. Oliveira.
A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Roman IglesiasTELEPHONE: (916) 809-3236
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
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-20220309101915
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: HILMAR CHRISTIAN CHILDREN'S CENTER
FACILITY NUMBER: 243801263
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/31/2022
Section Cited
CCR
101226.3(a)
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Observation of the Child: The behavior and health of the children shall be continually observed throughout the period of attendance.

This requirement was not met as evidenced by:

On 3/11/2022, LPA observed/ heard the school age children being boisterousness
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Per Director, an all staff meeting/training will be scheduled to address the following topic: Observation of the Child. Director will be mailing a detail agenda of the topic discussed, along with a sign in/sing out sheet of those in attendance to CCL by 3/31/2022.
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while playing outddors and staff did not address the behavior. Additionally, "ouch reports" confirm that children are getting injured due to playing rough.
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Type B
03/31/2022
Section Cited
CCR
101229(a)
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Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the children's needs.

This requirement was not met as evidenced by:
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Per Director, an all staff meeting/training will be scheduled to address the following topic: Responsibility for Providing Care and Supervision. Director will be mailing a detail agenda of the topic discussed, along with a sign in/sing out sheet of those in attendance to CCL by 3/31/2022.
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Staff are not providing adequate care and supervision, as children are constantly getting injured while at the facility.
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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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Roman IglesiasTELEPHONE: (916) 809-3236
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2