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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543810027
Report Date: 11/12/2025
Date Signed: 11/12/2025 12:42:03 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 RO, 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
11/04/2025 and conducted by Evaluator Denisia Jimenez
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20251104144949

FACILITY NAME:WASHINGTON ELEMENTARYFACILITY NUMBER:
543810027
ADMINISTRATOR:DORIA, CHERIFACILITY TYPE:
850
ADDRESS:451 E SAMOATELEPHONE:
(559) 562-8523
CITY:LINDSAYSTATE: CAZIP CODE:
93247
CAPACITY:24CENSUS: 23DATE:
11/12/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Cheri Doria TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Reporting Requirements
INVESTIGATION FINDINGS:
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On 11/12/25 Licensing Program Manager (LPM) Scott Herring and Licensing Program Analyst (LPA) Denisia Jimenez arrived at the facility to conduct an unannounced 10-day complaint inspection. LPA met with Director, Cheri Doria. LPA toured the preschool classroom, outdoor area, and took a census. LPA informed the Director of the purpose of today's inspection. During todays inspection LPM and LPA conducted an interview with Director, Staff, child, reviewed child's file,did observations, and obtained facility paperwork. Regarding the allegation, it was determined that an incident was reported to school staff on October 31, 2025, but was not reported to Community Care Licensing until November 4, 2025.

Based on the information obtained during the investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED.
Per Title 22, Division 12, of the California Code of Regulations, the following deficiency is being cited: (see next page).(Continued on 9099-C).
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2025
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 3
Control Number 57-CC-20251104144949
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: WASHINGTON ELEMENTARY
FACILITY NUMBER: 543810027
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/12/2025
Section Cited
CCR
101212(d)(1)(C)
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Reporting Requirement: a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours...Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
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The Director will submit a written statement to the Licensing Department by November 26, 2025, confirming that all incidents that could pose a threat to the emotional, health, or safety of children in care whether determined to have occurred or not will be reported.
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This requirement is not met as evidenced by: Based on interview and record review Staff did not comply with the section cited above. Staff did not report the allegation to Community Care Licensing that may or may not have occurred to a child on 10/30/25. This poses a potential health, safety or personal rights risk to 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.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3