543801382-11-5-2019-04-CC-DLEN-BHQ3UB-20191107173317

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 543801382
Report Date: 11/05/2019
Date Signed: 11/05/2019 09:44:36 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
08/20/2019 and conducted by Evaluator Peter Espinoza

COMPLAINT CONTROL NUMBER: 04-CC-20190820094025

FACILITY NAME:	PORTERVILLE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	543801382
ADMINISTRATOR:	RODRIGUEZ, BEATRIZ		FACILITY TYPE:	850
ADDRESS:	254 WEST ORANGE		TELEPHONE:	(559) 781-0145
CITY:	PORTERVILLE	STATE: CA	ZIP CODE:	93257
CAPACITY:	75	CENSUS: 50	DATE:	11/05/2019
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Sheila Hernandez, Site Supervisor		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Facility staff handled day care child in a rough manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Pete Espinoza arrived at the facility unannounced to initiate/complete the investigation into the above allegation. Information was gathered to investigate the above allegation. LPA met with Sheila Hernandez, Site Supervisor and toured the facility. LPA explained the reason for this inspection with Director and census was taken.
Based upon observations and information gathered through interviews, this agency has investigated the complaint alleging facility staff handled day care child in a rough manner. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore, the allegations are UNSUBSTANTIATED.
An exit interview was conducted with Sheila Hernandez, Site Supervisor and appeal rights were explained. A printed copy of the report as well as a printed copy of appeal rights was provided.

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

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter Espinoza	TELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019

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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