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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543801694
Report Date: 03/10/2021
Date Signed: 03/10/2021 11:19:20 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
02/22/2021 and conducted by Evaluator Peter Espinoza
COMPLAINT CONTROL NUMBER: 04-CC-20210222123054
FACILITY NAME:FAMILY F.O.C.U.S.FACILITY NUMBER:
543801694
ADMINISTRATOR:TANNER, PRUDY JFACILITY TYPE:
830
ADDRESS:1504 S. KESSINGTELEPHONE:
(559) 784-2214
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:45CENSUS: 11DATE:
03/10/2021
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Kawanda Pettitt - DirectorTIME COMPLETED:
11:35 AM
ALLEGATION(S):
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Facility grounds poses as a risk to daycare children

Staff fell on a daycare child while in care
INVESTIGATION FINDINGS:
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On 03/10/2021, Licensing Program Analyst (LPA) Pete Espinoza arrived at the facility unannounced to icomplete the investigation into the above allegation. Information was gathered to investigate the above allegation. LPA met with Kawanda Pettitt - Director. 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, the Licensing agency has determined the preponderance of evidence standards has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter (1/3), are being cited on the attached LIC 9099D.
An exit interview was conducted with Kawanda Pettitt - Director, a plan of correction was discussed, and appeal rights were explained. A printed copy of this report as well as a printed copy of the appeal rights was provided at the conclusion of the visit.
Notes:
* Any Licensing reports indicating a Type A deficiency shall be posted immediately and for the next 30 days and copies provided of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months 1596.8595(c). Health & Safety Section 1596.859(a) shall be cited and a civil penalty of $100.00 for failure to provide copies to parents/guardians of children in care and newly enrolled children, and for failure to maintain written verification of receipt of licensing reports indicating a Type A violation (LIC 9224).
LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2021
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-20210222123054
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: FAMILY F.O.C.U.S.
FACILITY NUMBER: 543801694
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/10/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
03/24/2021
Section Cited
CCR
101238(a)
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Buildings and Grounds - The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidenced by interviews with witnesses and observation of grounds (play area) conducted during complaint investigation.
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Licensee will write statement indicating plan to address maintenance and repairs to play yard. Plan will include timeline to identify, make appropriate arrangements and complete repairs in a timely manner.
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Licensee failed to address hole in play area, resulting in injury to staff. This poses an immediate/ risk to the health, safety or personal rights of children in care.
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Licensee will send plan to Fresno Regional Office by 03/24/2021.
Request Denied
Type A
03/24/2021
Section Cited
CCR
101223(a)(2)
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Personal Rights - The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced by interviews with witnesses, observation and records review conducted during complaint investigation.

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Licensee will provide training to all staff regarding the proper installation and use of gates in openings to classrooms. Licensee will provide outline of training and sign-in sheet for staff attending training.
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Staff leaned over gate to place child on floor and fell through gate, resulting in possible injury to child. This poses an immediate risk to the health, safety or personal rights of children in care.
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Licensee sill send outline and sign-in sheet to Fresno Regional office by 03/24/2021.
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 deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2021
LIC9099 (FAS) - (06/04)
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