503906437-9-8-2021-04-CC-AJUZ-C6PP73-20210909110314

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 503906437
Report Date: 09/07/2021
Date Signed: 09/08/2021 04:26:29 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
08/13/2021 and conducted by Evaluator Roman Iglesias

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210813083119

FACILITY NAME:	RUIZ, EVELIA FAMILY CHILD CARE		FACILITY NUMBER:	503906437
ADMINISTRATOR:	RUIZ, EVELIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 892-6546
CITY:	PATTERSON	STATE: CA	ZIP CODE:	95363
CAPACITY:	14	CENSUS: 8	DATE:	09/07/2021
		UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Evelia Ruiz		TIME COMPLETED:	02:55 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility is over ratio

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA), Roman Iglesias, conducted an unannounced complaint inspection to provide findings for the above allegation. LPA Iglesias met with Licensee, Evelia Ruiz, reviewed the allegation with her, and took a census.
According to the sign in/sign out sheet(s) provided by Ms. Ruiz, on 8/2/2021 she had 15 children in her care, exceeding the allowed capacity of 14. Additionally, on 8/11/2021 she was over capacity as according to the sign in/ sign out sheet, 16 children were present on that day. Ms. Ruiz and one of the children's parent indicated that the parent signed on the wrong date/time. However, even after removing that particular child, Ms. Ruiz is over ratio by one child.
Per California Code of Regulations, Tittle 22, Division 12, Chapter 1, this deficiency is being cited on the attached LIC 9099D.
An exit interview was conducted with Licensee, Evelia Ruiz. A copy of this report and Appeal Rights were provided and discussed with Ms. Ruiz. Due to IBM/FAS issues, a copy of the report was emailed on 9/8/21.
A Notice of Site Inspection Form was posted to parent's board and must remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Roman Iglesias	TELEPHONE: (916) 809-3236
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021

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-20210813083119

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: RUIZ, EVELIA FAMILY CHILD CARE	FACILITY NUMBER: 503906437
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/07/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/09/2021 Section Cited CCR 102416.5(a)(f)	1 2 3 4 5 6 7	Staffing Ratio and Capacity. The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. The total licensed capacity for a Large Family Child Care Home shall not exceed 14 children.	1 2 3 4 5 6 7	Licensee no longer cares for more children than her allowable capacity. On this day, licensee submitted a statement indicating no more than 14 children will be in care at a time. Additionally, Licensee will inform parents that she will not be able to care for his/her child, if at capacity on that day.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by the licensee having 15 children at one time on 8/2/21 and 8/11/21, as demonstrated on the sign in/sign out sheet(s) provided by the licensee. This is an immediate 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: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Roman Iglesias	TELEPHONE: (916) 809-3236
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3