503909841-4-13-2023-04-CC-CBRN-CR7UJC-20230424153716

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 503909841
Report Date: 04/13/2023
Date Signed: 04/13/2023 02:05:51 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 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
02/16/2023 and conducted by Evaluator Julie Baptista

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20230216130124

FACILITY NAME:	LOUIS, SONDRA FAMILY CHILD CARE		FACILITY NUMBER:	503909841
ADMINISTRATOR:	LOUIS, SONDRA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 605-5998
CITY:	MODESTO	STATE: CA	ZIP CODE:	95350
CAPACITY:	14	CENSUS: 11	DATE:	04/13/2023
		UNANNOUNCED	TIME BEGAN:	01:25 PM
MET WITH:	Sondra Louis		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff disclosed confidential information about day care child

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Julie Baptista conducted an unannounced inspection to complete the complaint investigation that was received on 2/16/23. LPA was greeted by two assistants. LPA met with licensee, Sondra Louis. A tour of facility was conducted, and census was taken.
During the complaint investigation it was discovered that personal information about a day care child was disclosed. Interview findings revealed that licensee and staff #1 provided personal information of child#1 to an unrelated adult of child#1. Form LIC 700 Identification and Emergency Information Child Care Centers/Family Child Care Homes and form LIC 627 Consent For Emergency Medical Treatment states that the information is confidential. Child#1’s personal confidential information was disclosed to someone who does not work or attend the day care home.
After interviews, records review, and LPA observance this agency has investigated the above complaint allegations; the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.
Per California Code of Regulations Title 22 Division 12 Chapter 1 the following deficiency is being cited today (See 9099-D). An exit interview was conducted with Sondra Louis, Licensee, and Appeal Rights were provided.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Brannon	TELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Julie Baptista	TELEPHONE: (559) 767-0213
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023

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-20230216130124

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: LOUIS, SONDRA FAMILY CHILD CARE	FACILITY NUMBER: 503909841
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/13/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/27/2023 Section Cited CCR 102423	1 2 3 4 5 6 7	Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (1) To be treated with dignity in his/her personal relationship with staff and other persons.	1 2 3 4 5 6 7	Licensee agrees to write a statement about how she will protect children’s information and how she will train staff to protect children’s information.
	8 9 10 11 12 13 14	During the inspection it was revealed that Staff #1 and Licensee disclosed confidential information about a day care child to someone who is not related or does not attend the day care home. This poses a potential 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: Julie Baptista	TELEPHONE: (559) 767-0213
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023

LIC9099 (FAS) - (06/04)

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