503906833-4-30-2019-04-CC-DLEN-BC72FL-20190514172142

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 503906833
Report Date: 04/30/2019
Date Signed: 04/30/2019 11:36:05 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
02/22/2019 and conducted by Evaluator Juvenal Moctezuma

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20190222144540

FACILITY NAME:	TERRY, JULIE FAMILY CHILD CARE		FACILITY NUMBER:	503906833
ADMINISTRATOR:	TERRY, JULIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 522-6868
CITY:	MODESTO	STATE: CA	ZIP CODE:	95355
CAPACITY:	14	CENSUS: 8	DATE:	04/30/2019
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Julie Terry		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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9

1. Facility is operating over capacity.
2. Facility staff locked child in a bedroom.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Juvenal Moctezuma and Kathy Pacheco conducted an unannounced inspection to complete the complaint investigation that was received on 02/22/2019. LPAs met with Licensee, Julie Terry and assistant and discussed the purpose of the inspection and a tour of the facility was conducted. LPAs observed 8 children playing out in the backyard.

During the course of the investigation, LPA Juvenal conducted interviews of Licensee, Staff, children, and parents of children currently enrolled and no longer enrolled. The interviews revealed inconsistencies in the above allegations of the facility operating over capacity and facility staff locked child in a bedroom. Although the allegations may have happened or may be valid, there is not a preponderance of the evidence to prove the above listed allegations; therefore, the allegations are unsubstantiated.

Appeal rights provided to licensee. Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency is cited during today’s inspection. A Notice of Site Visit was posted on parent board.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2019

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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