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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 503808945
Report Date: 07/28/2022
Date Signed: 07/28/2022 05:02:24 PM

Substantiated


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
06/06/2022 and conducted by Evaluator Angelica Slaughter
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220606141149
FACILITY NAME:SMALL WORLD CHRISTIAN SCHOOLFACILITY NUMBER:
503808945
ADMINISTRATOR:PADILLA, MIRIAMFACILITY TYPE:
830
ADDRESS:1027 7TH STTELEPHONE:
(209) 523-4388
CITY:MODESTOSTATE: CAZIP CODE:
95354
CAPACITY:20CENSUS: 8DATE:
07/28/2022
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Miriam PadillaTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Facility is operating out of ratio.
INVESTIGATION FINDINGS:
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On 07/28/22, Licensing Program Analyst (LPA) Angelica Slaughter conducted an unannounced follow up complaint inspection to the facility. LPA met with Director Miriam Padilla. The purpose of the inspection was to deliver the findings for the above complaint allegation. LPA also interviewed staff during inspection.

During the course of the investigation, LPA reviewed files/documentation and interviewed staff and witnesses. Based on the information obtained, there is a preponderance of the evidence to prove the facility was operating out of ratio at times; therefore, the allegation is substantiated.

Per California Code of Regulation, Title 22, Division 12, a deficiency is being cited (continued on page 9099 D). Appeal rights were provided. A Notice of Site Visit (LIC 9213) was given. This report shall be made available to the public upon request.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica SlaughterTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
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-20220606141149
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: SMALL WORLD CHRISTIAN SCHOOL
FACILITY NUMBER: 503808945
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/04/2022
Section Cited
CCR
101416.5(b)
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Staff-Infant Ratio: (b) There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidenced by: interviews conducted with staff and information obtained throughout this investigation. This poses a potential risk to the health, safety, or personal rights of children in care.
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Director stated she shall ensure that infants are supervised by qualified staff at all times and shall submit this plan in writing to CCL by 08/04/2022.
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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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica SlaughterTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2