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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543808961
Report Date: 12/09/2020
Date Signed: 12/09/2020 01:02:22 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
10/13/2020 and conducted by Evaluator Jessika Thompson
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20201013120514
FACILITY NAME:GRANDMA'S HOUSE PRESCHOOLFACILITY NUMBER:
543808961
ADMINISTRATOR:JOHNSON, FLORAFACILITY TYPE:
850
ADDRESS:226 S BLACKSTONETELEPHONE:
(559) 687-0925
CITY:TULARESTATE: CAZIP CODE:
93274
CAPACITY:25CENSUS: 0DATE:
12/09/2020
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Flora Johnson- Director TIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Hazardous items are accessible to children.
Facility not providing safe supervision of children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/09/20, Licensing Program Analyst (LPA) Jessika Thompson conducted a complaint tele-inspection. The purpose of this inspection was to deliver findings for the above allegations. LPA met virtually with Director Flora Johnson. No day-care children were present as the facility is currently closed.

This investigation consisted of interviews with staff, parents of day-care children, and inspection of pertinent areas of the facility. Staff interviewed reported observing the facility to be safe and free from hazardous items within the reach of children. Staff stated that children in care are adequately monitored and/or supervised at all times. Parents of children in care interviewed spoke positively about the facility, indicating that the facility is hazard free, safe, and kid-friendly; these parents also attested to adequate supervision being provided at the facility. Additionally, during inspection of the facility, LPA did not find any evidence of hazardous items within a child's reach.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2020
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 2
Control Number 04-CC-20201013120514
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: GRANDMA'S HOUSE PRESCHOOL
FACILITY NUMBER: 543808961
VISIT DATE: 12/09/2020
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Although the aforementioned allegations may have happened, or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency was cited.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2