<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543802461
Report Date: 04/20/2022
Date Signed: 04/20/2022 04:17:29 PM

Unsubstantiated


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
03/03/2022 and conducted by Evaluator Peter Espinoza
COMPLAINT CONTROL NUMBER: 04-CC-20220303090044
FACILITY NAME:OWENS FAMILY CHILD CAREFACILITY NUMBER:
543802461
ADMINISTRATOR:OWENS, KATHERINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 783-9065
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 4DATE:
04/20/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Katherine Owens, LicenseeTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Provider left daycare child soiled in urine and feces.

Provider left daycare children unattended.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 04/20/2022, Licensing Program Analyst (LPA) Pete Espinoza arrived at the facility unannounced to complete the investigation into the above allegations. LPA met with Katherine Owens, Licensee. LPA explained the reason for this inspection and census was taken. LPA interviewed children present in the daycare at time of visit.

Based upon observations and information gathered through interviews, this agency has investigated the complaint alleging Provider left daycare child soiled in urine and feces & Provider left daycare children unattended. 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 Katherine Owens, Licensee and appeal rights were explained. A printed copy of the report as well as a printed copy of 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 1