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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543810043
Report Date: 08/23/2022
Date Signed: 08/23/2022 02:51:55 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
08/15/2022 and conducted by Evaluator Theresa Marquez
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20220815083003
FACILITY NAME:VUSD-CRESTWOOD ELEMENTARY SCHOOL E.L.C.FACILITY NUMBER:
543810043
ADMINISTRATOR:AMY SULLIVANFACILITY TYPE:
850
ADDRESS:3001 W WHITENDALETELEPHONE:
(559) 730-7564
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:96CENSUS: 12DATE:
08/23/2022
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Margaret McLainTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility is not requiring parent signatures for children.
INVESTIGATION FINDINGS:
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On 8/23/2022, Licensing Program Analyst (LPA) Theresa Marquez conducted a complaint inspection and met with Early Childhood Education Lead Margaret McLain.

LPA Marquez toured the preschool, interviewed the reporting party and preschool staff. The investigation revealed that Staff in room 74 are not requiring authorized representatives and/or parents to sign in/sign out day care children.

Based on interviews, the preponderance of evidence standard has been met, therefore, the allegation facility is not requiring parent signatures for children, is found to be substantiated. Per California Code of Regulations Title 22 Division 12 Chapter 1, the following deficiency is being cited today (See LIC9099-D).

An exit interview was conducted and this report was reviewed with Margaret McLain. A copy of the complaint investigation report, the Appeal Rights and the Notice of Site Visit was given and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022
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-20220815083003
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: VUSD-CRESTWOOD ELEMENTARY SCHOOL E.L.C.
FACILITY NUMBER: 543810043
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/23/2022
Section Cited
CCR
101629.1(b)
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SIGN IN AND SIGN OUT- The licensee shall require that each child be signed in and out by his/her authorized representative. This requirement was not met as evidenced by record review and staff interviews.
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During todays inspection, Director provided a SIGN IN/SIGN OUT sheet for staff in room 74 to be used immediately. Director will schedule a SIGN IN and SIGN OUT training for all staff. Director will submit to the Fresno licensing
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Staff in room 74 are not requiring authorized representatives and/or parents to sign in/sign out children. This poses a potential risk to the health, safety or personal rights to children in care.
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office a signed roster of all staff that completed the training.
Training to be completed by 9/23/2022.
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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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022
LIC9099 (FAS) - (06/04)
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