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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543808293
Report Date: 10/27/2021
Date Signed: 10/27/2021 05:20:05 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
08/18/2021 and conducted by Evaluator Jessika Thompson
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20210818085533
FACILITY NAME:HYDE PARK PRESCHOOLFACILITY NUMBER:
543808293
ADMINISTRATOR:HERNANDEZ,CHRISTINEFACILITY TYPE:
850
ADDRESS:337 N. CHINOWTHTELEPHONE:
(559) 635-7264
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:36CENSUS: 20DATE:
10/27/2021
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Director Christine HernandezTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff not providing a safe environment for children in care.
INVESTIGATION FINDINGS:
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On 10/27/21, Licensing Program Analyst (LPA) Jessika Thompson arrived at the facility for the purpose for conducting a complaint inspection. LPA met with Director Christine Hernandez and disclosed the above listed complaint allegation. A tour of the facility was conducted and a census was taken. During the course of this investigation LPA interviewed staff and parents. Additionally, pertinent facility records were reviewed. According to staff interviewed, Child #1 has hit other children in care, yelled at staff, and exhibited destructive behaviors on a frequent basis, without resolve, resulting in a potentially unsafe envoirment for children in care.

Based upon observations, records review and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

An exit interview was conducted with Director Christine Hernandez(continued on LIC9099-C).
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2021
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 3
Control Number 04-CC-20210818085533
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: HYDE PARK PRESCHOOL
FACILITY NUMBER: 543808293
VISIT DATE: 10/27/2021
NARRATIVE
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Director Christine Hernandez was provided a copy of their appeal rights (LIC9058 12/15) and their signature on this form acknowledges receipt of this form. A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is being cited on the attached LIC 9099D.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20210818085533
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: HYDE PARK PRESCHOOL
FACILITY NUMBER: 543808293
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/27/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/22/2021
Section Cited
CCR
101223(a)(2)
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(a) The licensee shall ensure that each child is accorded the following personal rights: (2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by information obtained by LPA during interviews with staff.
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Director stated she will review section 101223(a)(2), Personal Rights and train her staff on maintaining a safe environment for children in care. Training outline and a staff sign in sheet to be submitted to the Fresno Community Care Licensing Office by 11/22/21. Training to include viewing of Community Care Licensing Video titled "Children's Personal Rights in Child Care".
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Staff interviewed indicated that Child #1, over a period of several months, consistently hit other children, yelled at staff, and disrupted classroom activities. This poses a potential risk to the health, safety, or personal rights of children in care.
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This video can be accessed by visiting the following website: ccld.childcarevideos.org
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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: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3