515405919-10-25-2019-13-CC-EVIA-BHGP8R-20191031110559

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 515405919
Report Date: 10/25/2019
Date Signed: 10/25/2019 04:54:31 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/18/2019 and conducted by Evaluator Mikah Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20190918090121

FACILITY NAME:	FUSION PRESCHOOL ACADEMY II (INFANT)		FACILITY NUMBER:	515405919
ADMINISTRATOR:	EVERETT, KELLI		FACILITY TYPE:	830
ADDRESS:	1191 LIVE OAK BLVD.		TELEPHONE:	(530) 437-8216
CITY:	YUBA CITY	STATE: CA	ZIP CODE:	95991
CAPACITY:	12	CENSUS: 2	DATE:	10/25/2019
		UNANNOUNCED	TIME BEGAN:	04:10 PM
MET WITH:	Dante Walters		TIME COMPLETED:	05:10 PM

ALLEGATION(S):

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9

Staff failed to notify parents of an outbreak of a contagious illness

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Martinez conducted an unannounced complaint visit and met with Dante Walters. It was alleged the staff failed to notify parents of an outbreak of a contagious illness. Interviews were conducted on 9/19/19, /9/27/19,9/30/19, and10/17/19 regarding the outbreak. Six interviews were conducted with witnesses and was determined two children in the infant room had symptoms or were diagnosed with a contatious illness. Although both children were not in care at the same time the outbreak had occured in the facility preschool as well. It was also determined through the interviews with 6 witnesses that the facility verbally notifies them or texts them by phone when there might be a contagious outbreak. Postings were not observed druing LPA's initial walk through of the facility. Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

Notice of Site visit must be posted for 30 days. The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided.

Substantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Mikah Martinez	TELEPHONE: (530) 895-4014
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019

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 13-CC-20190918090121

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: FUSION PRESCHOOL ACADEMY II (INFANT)	FACILITY NUMBER: 515405919
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/25/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/08/2019 Section Cited CCR 101212(g)(1)	1 2 3 4 5 6 7	The licensee shall report to the local health officer all outbreaks or suspected outbreaks involving two or more children of any communicable disease listed in (g)(2)(A) below (including diseases, such as head lice, not listed in Title 17, Section 2500). This requirment was not met as evidenced by; based on interviews it was determined more	1 2 3 4 5 6 7	The director agrees to send in a plan for how parents will be advised of an outbreak in the future and that staff as well as the director has read and reviewed the reporting requirments for centers no later than 11/8/19
	8 9 10 11 12 13 14	than one child in the facility was experiencing symptoms or diagnosed with the same communicable disease in the facility. The facility did not report this outbreak to CCLD, the local health department or to parents. This is a potential health and safety risk to 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: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Mikah Martinez	TELEPHONE: (530) 895-4014
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/18/2019 and conducted by Evaluator Mikah Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20190918090121

FACILITY NAME:	FUSION PRESCHOOL ACADEMY II (INFANT)		FACILITY NUMBER:	515405919
ADMINISTRATOR:	EVERETT, KELLI		FACILITY TYPE:	830
ADDRESS:	1191 LIVE OAK BLVD.		TELEPHONE:	(530) 437-8216
CITY:	YUBA CITY	STATE: CA	ZIP CODE:	95991
CAPACITY:	12	CENSUS: 2	DATE:	10/25/2019
		UNANNOUNCED	TIME BEGAN:	04:10 PM
MET WITH:	Dante Walters		TIME COMPLETED:	05:10 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff failed to properly sanitize facility

INVESTIGATION FINDINGS:

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5
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13

Licensing Program Analyst (LPA) Martinez conducted an unannounced complaint visit and met with the director Dante Walters. It was alleged that the facility staff failed to properly sanitize the infant facility. LPA Martinez conduced a visit and tour on 9/25 and 10/25 and observed the facility appeared clean and orderly. Interviews with six witnesses indicated that the faacility smells and apears clean to them although they may not observe the cleaning process. It was also indicated that at times infant toys are placed in a bucket after children put them in their mouth for sanitizing. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred and the findings are unsubstantiated.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Mikah Martinez	TELEPHONE: (530) 895-4014
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019

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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