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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543801694
Report Date: 05/18/2021
Date Signed: 05/18/2021 12:39:24 PM



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
05/03/2021 and conducted by Evaluator Peter Espinoza
COMPLAINT CONTROL NUMBER: 04-CC-20210503100202

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: DATE:
05/18/2021
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Twila Silva, Site SupervisorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff did not report incident to appropriate parties
INVESTIGATION FINDINGS:
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On 05/18/2021, Licensing Program Analyst (LPA) Pete Espinoza arrived at the facility unannounced to complete the investigation into the above allegation. LPA met with Twila Silva, Site Supervisor. and toured the facility. LPA explained the reason for this inspection and census was taken.

Based upon 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.

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 Twila Silva, Site Supervisor, 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.
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: 05/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 04-CC-20210503100202
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: 05/18/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/21/2021
Section Cited
CCR
101212(d)(1)(B)&(C)
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Reporting Requirements - Upon the occurrence, during the operation of the child care center... a report shall be made to the Department by telephone or fax within the Department's next working day ... In addition, a written report... shall be submitted to the Department within seven days following the occurrence of such event.
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Site Supervisor and Agency Administrative Staff (Board Chair/Administrator, Program Director, Assistant Director) will complete Child Care Center Operations and Record Keeping Online Orientation. Agency Staff will provide proof of completion to Fresno Regional Office by 05/21/2021.
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This requirement is not met as evidenced by interviews with witnesses conducted during complaint investigation. Agency Administration directed staff not to report to Fresno Regional Office two (2) separate incidents which a child was found alone outside of the classroom AND child was injured and required medical treatment. This poses an potential risk to the health, safety or personal rights of children in care.
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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: 05/18/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 4