503808826-5-20-2024-04-CC-CBRN-D66U77-20240612151925

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 503808826
Report Date: 05/20/2024
Date Signed: 05/20/2024 02:07:27 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 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
05/17/2024 and conducted by Evaluator Valerie Mireles

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20240517124956

FACILITY NAME:	SEQUOIA PRESCHOOL ACADEMY		FACILITY NUMBER:	503808826
ADMINISTRATOR:	GUTHMILLER, JANET		FACILITY TYPE:	830
ADDRESS:	1308 COFFEE ROAD		TELEPHONE:	(209) 526-2273
CITY:	MODESTO	STATE: CA	ZIP CODE:	95355
CAPACITY:	4	CENSUS: 4	DATE:	05/20/2024
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Janet Guthmiller		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Infants left unattended at facility

INVESTIGATION FINDINGS:

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On 05/20/2024, Licensing Program Analysts (LPAs) Valerie Mireles and Anita Tristan conducted an unannounced complaint inspection to open and close the above complaint allegation. LPAs met with Director, Janet Guthmiller. There were four infants present during today's inspection being supervised by two fully qualified infant teachers. LPAs explained the allegation. LPAs toured the facility, inside and outside. During today’s visit, LPAs also reviewed a sample of staff files, interviewed the Director and staff.

During the investigation, LPA received and reviewed pertinent documentation. LPA also interviewed a sample of staff. Based on the documentation received, it was determined that Staff#1 left the infant classroom unattended while three infants were in the classroom during naptime, and one infant was awake.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Brannon	TELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Valerie Mireles	TELEPHONE: (559) 341-5431
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024

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-20240517124956

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: SEQUOIA PRESCHOOL ACADEMY	FACILITY NUMBER: 503808826
	VISIT DATE: 05/20/2024

NARRATIVE

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This agency investigated the complaint alleging that infants left unattended at facility. Based on LPAs observations of documentation received, 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, a Type A citation will be issued for violation of CCR101229(a)(1) as a result of substantiated allegation. An exit interview conducted with Director Janet Guthmiller. A copy of this report and Appeal Rights were provided and discussed with Director.

Upon receipt of a Type A violation, licensee 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 Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Janet Guthmiller.

A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.

SUPERVISOR'S NAME: Cynthia Brannon	TELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Valerie Mireles	TELEPHONE: (559) 341-5431
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024

LIC9099 (FAS) - (06/04)

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Control Number 04-CC-20240517124956

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: SEQUOIA PRESCHOOL ACADEMY	FACILITY NUMBER: 503808826
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/20/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/21/2024 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101429 Responsibility for Providing Care and Supervision for Infants (a) In addition to Section 101229, the following shall apply:(1)Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement was not met by:	1 2 3 4 5 6 7	Director will provide Community Care Licensing with a scheduling plan for back-up coverage for staff breaks, lunches, sick calls. Director will also complete the Child Care Center Online Orientionation.
	8 9 10 11 12 13 14	Based on LPAs observations of documentation received it was determined that staff left the classroom unattended while 3 infants were in the classroom during naptime, and one infant was awake. This poses a significant risk to the health, 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: Cynthia Brannon	TELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Valerie Mireles	TELEPHONE: (559) 341-5431
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024

LIC9099 (FAS) - (06/04)

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