503910007-1-6-2023-04-CC-RVAA-CN7QSC-20230118112517

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 503910007
Report Date: 01/06/2023
Date Signed: 01/06/2023 12:07:13 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
01/03/2023 and conducted by Evaluator Priscilla Zamudio

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20230103130727

FACILITY NAME:	SPIELMAN, TANYA FAMILY CHILD CARE		FACILITY NUMBER:	503910007
ADMINISTRATOR:	SPIELMAN, TANYA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 244-5937
CITY:	TURLOCK	STATE: CA	ZIP CODE:	95382
CAPACITY:	14	CENSUS: 18	DATE:	01/06/2023
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Tanya Spielman		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Facility is operating over capacity

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Priscilla Zamudio conducted an unannounced inspection to complete the complaint investigation that was received on 1/3/23. LPA met with Licensee, Tanya Spielman and discussed the purpose of the inspection and provided finding to the above allegation. A tour of the home was conducted and census was taken.

Licensee acknowledged that she has operated over her licensed capacity on different occasions, mainly during the school holidays.

During the course of the investigation, LPA Zamudio conducted an interview with Licensee and reviewed pertinent documentation. Based on interviews, observation and documentation obtained during the investigation, it was determined that there is a preponderance of the evidence to prove that this facility was operating over capacity; therefore, the allegation is SUBSTANTIATED.

Continued LIC 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Priscilla Zamudio	TELEPHONE: (559) 578-7350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023

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-20230103130727

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: SPIELMAN, TANYA FAMILY CHILD CARE	FACILITY NUMBER: 503910007
	VISIT DATE: 01/06/2023

NARRATIVE

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Per California Code of Regulations, Title 22, Division 12, Chapter 3, one Type A deficiency was cited. A copy of the report, appeal rights, and a Notice of Site Visit were provided to Licensee.

In the exit interview the licensee was advised of appeals rights and was provided with Appeals Rights. Licensee was also advised that this report with Type A Deficiency must be posted for 30 days where parents may easily view and filed in facility file for public review for 3 years.

Licensee is advised to make this licensing report accessible to the public and to provide copies of this licensing report and 9099D with Type A citation to parents/legal guardians of children in care and to parents/legal guardians of children newly enrolled at the facility during the next 12 months. Licensee is to keep verification of receipt (LIC9224) in each child's file at the facility. An LIC9224 and Assembly Bill 633 fact sheet was provided to licensee on this date.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Priscilla Zamudio	TELEPHONE: (559) 578-7350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023

LIC9099 (FAS) - (06/04)

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Control Number 04-CC-20230103130727

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: SPIELMAN, TANYA FAMILY CHILD CARE	FACILITY NUMBER: 503910007
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/06/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/06/2023 Section Cited CCR 102416.5(d)(2)	1 2 3 4 5 6 7	Staffing Ratio and Capacity For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home... shall be either: (2) More than twelve and up to fourteen children only if the criteria in Section 1597.465	1 2 3 4 5 6 7	Licensee immediately fixed the deficiency by sending her three children to their grandparents' home and other children were picked up by their parents. Licensee shall submit a written statement indicating how she will ensure to remain in ratio in the future.
	8 9 10 11 12 13 14	of the Health and Safety Code are met. This requirement was not met as evidenced by: Based on observation, there were 18 children present, including four infants, seven preschool aged and seven school aged, which posed a potential threat to the health, safety, or personal rights of children. This is also a repeat violation.	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: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Priscilla Zamudio	TELEPHONE: (559) 578-7350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023

LIC9099 (FAS) - (06/04)

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