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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 503602251
Report Date: 06/17/2021
Date Signed: 06/17/2021 12:13:43 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
04/19/2021 and conducted by Evaluator Luisa Gavoutian
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20210419162054
FACILITY NAME:TURLOCK CHRISTIAN PRESCHOOL (INF)FACILITY NUMBER:
503602251
ADMINISTRATOR:DE LA MOTTE, HEIDIFACILITY TYPE:
830
ADDRESS:2006 E. TUOLUMNE ROADTELEPHONE:
(209) 669-2192
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY:31CENSUS: 10DATE:
06/17/2021
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director - Heidi de la MotteTIME COMPLETED:
12:25 PM
ALLEGATION(S):
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Facility not following safe sleep practices.
INVESTIGATION FINDINGS:
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On 06/17/2021, Licensing Program Analyst (LPA) Luisa Gavoutian conducted an unannounced complaint visit to provide findings. LPA met with Director Heidi de la Motte and Assistant Director Jennifer Renteria, who accompanied LPA during tour of facility. LPA discussed the allegation and took a census. During the course of the investigation, LPA made observations and interviewed staff, reviewed sign-in/out sheets, and reviewed facility records. Interviews conducted with Staff 1, Staff 2, and Staff 3, and photographs submitted, revealed that safe sleep regulations were being violated at the facility. Both Staff 1 and Staff 2 stated that infants were left on the ground after falling asleep and not immediately moved to a crib. Photographs were submitted depicting an infant asleep on their stomach on the ground.

On 04/27/2021, LPA entered the infant classroom to conduct observation and upon entering observed one awake infant in a crib that had been rolled out into the main classroom area and two awake infants in the same classroom area – one infant was eating and the other infant finished eating and was getting out of the chair. (Continued on LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021
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-20210419162054
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: TURLOCK CHRISTIAN PRESCHOOL (INF)
FACILITY NUMBER: 503602251
VISIT DATE: 06/17/2021
NARRATIVE
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Staff 3 was supervising all three infants and stated the infant in the crib was asleep in the crib and no other staff were available to supervise all three infants; the crib was moved out into the classroom to allow Staff 3 to supervise the sleeping infant and two awake infants. Staff 3 stated the infant had been asleep for approximately five minutes and had woken up shortly before LPA entered classroom. LPA observed a blanket draped on one side of crib and Staff 3 stated the blanket had been there when the infant was asleep.

All facility staff have completed the “How Safe Sleep Savvy Are You?” quiz offered through the National Institute of Children’s Health Quality website. Director submitted a list of staff who have completed the quiz and the dates of completion to LPA on 05/11/2021.

Based upon 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, these deficiencies are being cited on the attached LIC 9099D.

An exit interview conducted with Director Heidi de la Motte. A copy of this report and Appeal Rights were provided and discussed with Director.
A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20210419162054
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: TURLOCK CHRISTIAN PRESCHOOL (INF)
FACILITY NUMBER: 503602251
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/01/2021
Section Cited
CCR
101430(a)(3)(E)
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Infant Care Activities; (E) If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible. This requirement was not met as evidenced by:
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Director stated she shall conduct a staff meeting and train staff on this regulation, as well as other safe sleep regulations. Director shall submit the agenda and list of employees in attendance to CCL by 07/01/2021
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Based on interviews, staff failed to move sleeping infant to a crib as soon as possible. This poses a potential risk to the health, safety, or personal rights of children.
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Type B
07/01/2021
Section Cited
CCR
101430(a)(3)
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Infant Care Activities; (3) All infants shall be given the opportunity to sleep without distraction or disturbance from other activities at the center whenever the infant desires. This requirement was not met as evidenced by:
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Director stated she shall conduct a staff meeting and train staff on this regulation, as well as other safe sleep regulations. Director shall submit the agenda and list of employees in attendance to CCL by 07/01/2021
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Based on observation, staff failed to give an infant the opportunity to sleep without distraction or disturbance by moving the crib into the main classroom where other infants were engaged in other activities. This poses a potential risk to the health, safety or personal rights of children.
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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: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3