503608480-12-27-2021-04-CC-MDUE-CB8RJ8-20220201120327

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 503608480
Report Date: 12/27/2021
Date Signed: 12/27/2021 01:31:56 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
12/17/2021 and conducted by Evaluator Candis Rodriguez

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20211217121321

FACILITY NAME:	KIDDIE KINGDOM DAYCARE CENTER		FACILITY NUMBER:	503608480
ADMINISTRATOR:	CASTILLO, DAISY		FACILITY TYPE:	830
ADDRESS:	3900 MORGAN ROAD #G		TELEPHONE:	(209) 537-8944
CITY:	CERES	STATE: CA	ZIP CODE:	95307
CAPACITY:	12	CENSUS: 4	DATE:	12/27/2021
		UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Maria Romero		TIME COMPLETED:	01:40 PM

ALLEGATION(S):

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Staff are not following safe sleep practices

INVESTIGATION FINDINGS:

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On 12/27/2021, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced complaint inspection at facility. LPA met with Site Supervisor Maria Romero, explained purpose of inspection, toured the facility, and took a census.

Upon entry of infant classroom, LPA observed one teacher, Teacher #1, with three awake infants. LPA entered the sleeping room, which is adjacent to the classroom separated by a half door. LPA observed one sleeping infant, Child #1, over the age of 1 year sleeping on a mat on the ground, with no direct supervision. LPA observed the light of the room to be off and was unable to see Child #1 from the door. LPA notified staff that there should be a qualified staff member supervising sleeping children at all times. Site Supervisor immediately assisted Teacher #1 to supervise Child #1.
(Continued on LIC 9099-C)

Substantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Candis Rodriguez	TELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2021

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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Control Number 04-CC-20211217121321

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: KIDDIE KINGDOM DAYCARE CENTER	FACILITY NUMBER: 503608480
	VISIT DATE: 12/27/2021

NARRATIVE

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LPA interviewed Site Supervisor and several staff members. LPA reviewed facility files.

Based on LPA's observations and interviews, it was determined that the facility did not follow safe sleep practices by allowing a sleeping infant, Child #1, to be left alone in the sleeping room with no direct supervision. Therefore, the preponderance of evidence standard has been met, and the allegation is found to be Substantiated.
Per California Code of Regulations, Title 22, Division 12, Chapter 3, the following deficiency is found: (See LIC 9099-D). An Immediate Civil Penalty was assessed in the amount of $500. Exit interview conducted with Vanessa Crane.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Candis Rodriguez	TELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2021

LIC9099 (FAS) - (06/04)

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Control Number 04-CC-20211217121321

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: KIDDIE KINGDOM DAYCARE CENTER	FACILITY NUMBER: 503608480
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/27/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 12/27/2021 Section Cited CCR 101429(a)(2)	1 2 3 4 5 6 7	101429(a)(2) Sleeping infant(s) shall be directly observed by sight and sound at all times. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Facility immediately corrected situation by having Site Supervisor remain in the infant sleeping room to supervise sleeping infant. Site Supervisor agreed to have staff training with all staff to go over safe sleep regulations and requirements.
	8 9 10 11 12 13 14	Based on observation and interview, facility did not ensure sleeping infant, Child #1, was being directly observed by both sight and sound, resulting in an absence of supervision. This poses an immediate risk to the health, safety, and personal rights of children in care.	8 9 10 11 12 13 14	Site Supervisor also agreed to outline the training materials used in the training along with a signature log of all staff who attend the training, and send outline and log to CCL by January 10th, 2021. Immediate Civil Penalty was assessed in the amount of $500.
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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 Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Candis Rodriguez	TELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2021

LIC9099 (FAS) - (06/04)

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