503904412-8-21-2019-04-CC-SFAG-BFS27Y-20190906170930

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 503904412
Report Date: 08/21/2019
Date Signed: 08/21/2019 10:57:27 AM

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
07/16/2019 and conducted by Evaluator Robert Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20190716164513

FACILITY NAME:	REYNA, SHERRI FAMILY CHILD CARE		FACILITY NUMBER:	503904412
ADMINISTRATOR:	REYNA, SHERRI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 524-2573
CITY:	MODESTO	STATE: CA	ZIP CODE:	95351
CAPACITY:	14	CENSUS: 4	DATE:	08/21/2019
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Sherri Reyna		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Licensee is failing to keep the daycare home free from infestation of bugs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Robert Gutierrez conducted an unannounced complaint inspection to provide findings. LPA met with Licensee Sherri Reyna also present was assistant Lori Singer. Licensee accompanied LPA during tour of facility both inside and outside. LPA discussed the allegation and a census was taken. During the course of the investigation LPAs Robert Gutierrez & Jose Penate interviewed staff, children, witnesses and reviewed facility records. Based on the interviews conducted it was determined that Child #1 was observed to have insect bites. However, it is unable to be determined if the child received the bites while at the facility. The furniture accessible to children was inspected and there was no indication of bugs or insects present, but it is noted that the licensee stated she recently replaced her furniture and the old furniture was not available for inspection. Licensee provided documentation of a current contact for a quarterly pest control service.

Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert Gutierrez	TELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2019

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-20190716164513

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: REYNA, SHERRI FAMILY CHILD CARE	FACILITY NUMBER: 503904412
	VISIT DATE: 08/21/2019

NARRATIVE

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Although the allegation that licensee is failing to keep the daycare home free from infestation of bugs may have happened or is valid, there is not a preponderance of evidence based on the investigation conducted to prove the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency cited.

Exit interview conducted with Licensee, Sherri Reyna.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert Gutierrez	TELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2019

LIC9099 (FAS) - (06/04)

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