543802461-1-13-2023-57-CC-SFAG-CPL2FT-20230303162204

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 543802461
Report Date: 01/13/2023
Date Signed: 01/13/2023 03:07:05 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 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
01/12/2023 and conducted by Evaluator Ruby Ocegueda

PUBLIC

COMPLAINT CONTROL NUMBER: 57-CC-20230112155719

FACILITY NAME:	OWENS FAMILY CHILD CARE		FACILITY NUMBER:	543802461
ADMINISTRATOR:	OWENS, KATHERINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 783-9065
CITY:	PORTERVILLE	STATE: CA	ZIP CODE:	93257
CAPACITY:	14	CENSUS: 6	DATE:	01/13/2023
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Katherine Owens		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Provider does not keep facility free from odor.

Facility is dirty/unsanitary.

Provider disclosed daycare children personal information.

INVESTIGATION FINDINGS:

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On 1/13/2023, Licensing Program Analyst (LPA) Ruby Ocegueda and Daniel Alvarez conducted an unannounced complaint inspection for the purpose of addressing the complaint allegations listed above. Upon arrival, LPA Ocegueda and Alvarez provided identification and met with licensee Owens. LPA's toured the home and took a census today.

During the investigation, LPA Ocegueda conducted interviews of the Reporting Party (RP) and licensee. LPA's also noted and discussed observations of the facility today. The investigation revealed that the facility has pet cats that are kept inside the day care during day care hours and there was an odor resembling urine inside the day care room where children spend most of their time. It was unclear if it was cat urine or if the odor was coming from other items (pillows or a full diaper pail) in the day care room. Also it was observed that the day care room, kitchen and the hall bathroom were cluttered with toys, open food, various objects and clothing on the floor in the batrhoom. Also, various toys had dark smudges on the plastic and the cloth material. Photos were taken. Report continued to 9099-C

Substantiated

Estimated Days of Completion: 30

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023

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 57-CC-20230112155719

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: OWENS FAMILY CHILD CARE	FACILITY NUMBER: 543802461
	VISIT DATE: 01/13/2023

NARRATIVE

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Report continued from previous 9099 page

This agency has investigated the complaint allegations stated above. After review of the evidence, interviews and observations, the Department has found that the complaint was SUBSTANTIATED, meaning the preponderance of evidence standard has been met.

Per California Code of Regulation, Title 22, Division 12, Chapter 3, the following deficiencies were cited (see LIC 9099-D). A copy of this report and appeal rights were provided to Licensee.

Notice of Site Visit LIC 9213 will be posted for 30 days.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 57-CC-20230112155719

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: OWENS FAMILY CHILD CARE	FACILITY NUMBER: 543802461
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/13/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/10/2023 Section Cited CCR 102423(a)(1)	1 2 3 4 5 6 7	Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:(a) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.	1 2 3 4 5 6 7	Licensee stated she would declutter and clean the facility as well as ensure the odor was no longer present in her facility. LPA discussed the observations and requirements at length. A return inspection will be conducted after 2/10/2023 to ensure all deficiencies are corrected.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: observation and interview. LPA's observed play room was cluttered with various items, there was various food items covering the counters in kitchen and bathroom was cluttered with clothing on the ground and counter. There was also an odor that resembled urine. Licensee confirmed the observations. This poses a potential risk to the health, safety and/or personal rights of children in care.	8 9 10 11 12 13 14
Type B 02/10/2023 Section Cited CCR 102423(a)(2)	1 2 3 4 5 6 7	Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To be treated with dignity in his/her personal relationship with staff and other persons.	1 2 3 4 5 6 7	Licensee agreed that she would no longer disclose personal information to others about children in care. Licensee stated she would complete a statement showing this understanding. LPA will conduct a return inspection to ensure that this correction is completed after POC date 2/10/2023.
	8 9 10 11 12 13 14	Based on interview, licensee confirmed that she disclosed personal information to a person that was not the parent/or authorized representative of child#1. This poses a potential risk to the health, safety and or personal rights to persons in care.	8 9 10 11 12 13 14

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: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023

LIC9099 (FAS) - (06/04)

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