503808363-7-24-2020-04-CC-SFAG-BT42KA-20200902172733

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 503808363
Report Date: 07/23/2020
Date Signed: 07/24/2020 02:14:12 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
06/08/2020 and conducted by Evaluator Theresa Marquez

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20200608084342

FACILITY NAME:	A+ ACADEMICS PRESCHOOL		FACILITY NUMBER:	503808363
ADMINISTRATOR:	BASFORD, SHANNON		FACILITY TYPE:	850
ADDRESS:	1934 G STREET		TELEPHONE:	(209) 544-8194
CITY:	MODESTO	STATE: CA	ZIP CODE:	95354
CAPACITY:	24	CENSUS: 10	DATE:	07/23/2020
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Shannon Basford		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Undated food being stored and served.

INVESTIGATION FINDINGS:

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On July 23, 2020, Licensing Program Analyst (LPA)Theresa Marquez conducted a complaint inspection and met with Licensee/Director Shannon Basford. Also present was assistant Kirstie Basford. LPA took a census and discussed the above allegation with Basford.
During the 6/8/2020 complaint inspection, LPA observed several reusable frozen bags in the facility freezer. Two reusable bags were without original packaging;1 bag of fish sticks and 1 bag of pork & beans that were not labeled identifying the food and not dated to identify expiration of food.
Based on LPA observations and staff interviews, there is a preponderance of evidence to prove the above the allegation is substantiated.
Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency was found. (see the attached) LIC9099-D.
A copy of Licensee's Appeal Rights was provided to Shannon Basford today.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2020

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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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
06/08/2020 and conducted by Evaluator Theresa Marquez

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20200608084342

FACILITY NAME:	A+ ACADEMICS PRESCHOOL		FACILITY NUMBER:	503808363
ADMINISTRATOR:	BASFORD, SHANNON		FACILITY TYPE:	850
ADDRESS:	1934 G STREET		TELEPHONE:	(209) 544-8194
CITY:	MODESTO	STATE: CA	ZIP CODE:	95354
CAPACITY:	24	CENSUS: 10	DATE:	07/23/2020
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Shannon Basford		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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9

Children are not allowed to drink water as they wish.

INVESTIGATION FINDINGS:

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On July 23, 2020, Licensing Program Analyst (LPA)Theresa Marquez conducted a complaint inspection and met with Licensee/Director Shannon Basford. Also present was assistant Kirstie Basford. LPA took a census and discussed the above allegation with Basford.
The children interviewed were aware of the accessibility of water inside and outside of the facility. However, children's interviews were inconsistent of whether they are being denied water.

Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2020

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-20200608084342

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: A+ ACADEMICS PRESCHOOL	FACILITY NUMBER: 503808363
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/23/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/23/2020 Section Cited CCR 101227(a)(1)	1 2 3 4 5 6 7	FOOD SERVICES - In child care centers providing meals to children, the following shall apply: All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. This requirement was not met as evidenced by observation. On 6/8/2020, LPA observed	1 2 3 4 5 6 7	Director stated she will identify and date all frozen food items or keep them in their original packaging. LPA verified during 7/23/2020 inspection, all frozen food items are labeled and/or dated or in their original packaging. DEFICIENCY CLEARED
	8 9 10 11 12 13 14	two reusable frozen bags containing food items that were not labeled identifying the food and not dated to identify expiration of food. This poses a potential risk to the health, safety or personal rights to 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: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2020

LIC9099 (FAS) - (06/04)

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