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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543909731
Report Date: 08/08/2019
Date Signed: 08/09/2019 02:46:07 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
05/22/2019 and conducted by Evaluator Patricia Musso
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20190522111210
FACILITY NAME:SANCHEZ, RAQUEL FAMILY CHILD CAREFACILITY NUMBER:
543909731
ADMINISTRATOR:SANCHEZ, RAQUELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 656-3857
CITY:TULARESTATE: CAZIP CODE:
93274
CAPACITY:14CENSUS: 9DATE:
08/08/2019
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Raquel SanchezTIME COMPLETED:
12:25 PM
ALLEGATION(S):
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Licensee used an inappropriate form of cleaning a day-care child.
INVESTIGATION FINDINGS:
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LPAs Patricia Musso, and Diana Martinez arrived at this FCCH to conducted a complaint investigation today. During today's inspection, LPA Martinez provided and explained the finding of the above allegation in Spanish.
During prior inspections files were reviewed, home was toured both inside and outside,
and interviews were conducted with the reporting party, licensee, and licensee's assistant. During this investigation, through interviews and licensee's statement admitting that she has taken a child out to the backyard to clean that child
using a hose and a bucket after that child had pooped in his/her clothes. This is proof that licensee used an inappropriate form of cleaning a day-care child. Therefore, this complaint is substantiated.
This complaint is being closed as SUBSTANTIATED.
Per California Code of Regulations Title 22, Division 12, Chapter 3, the deficiency cited
today is on the following LIC9099D. Appeal Rights were given to Raquel today.
During the exit interview LPAs viewed the Notice of Site Visit being posted with instructions that it needs to be posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Patricia MussoTELEPHONE: (559) 341-5422
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019
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-20190522111210
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: SANCHEZ, RAQUEL FAMILY CHILD CARE
FACILITY NUMBER: 543909731
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/08/2019
Section Cited
CCR
102
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102423(a)(1)
Personal Rights. Each child receiving services from a family child care home shall be accorded dignity in his/her personal relationships with staff, residents and other persons. This requirement was not met as
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Licensee will ensure that the personal rights of any and all children under her care are not violated. Licensee to submit a written plan on how she will prevent children's personal rights from being
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evidenced by licensee's statemet admitting that she has taken a child out to the backyard to clean that child using a hose and a bucket after that child had pooped in his/her clothes. This poses a potential health, safety or personal rights risk to children in care.
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violated by due date 8/15/19.
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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: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Patricia MussoTELEPHONE: (559) 341-5422
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
05/22/2019 and conducted by Evaluator Patricia Musso
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20190522111210

FACILITY NAME:SANCHEZ, RAQUEL FAMILY CHILD CAREFACILITY NUMBER:
543909731
ADMINISTRATOR:SANCHEZ, RAQUELFACILITY TYPE:
810
ADDRESS:980 N TERRACE PARK STTELEPHONE:
(559) 656-3857
CITY:TULARESTATE: CAZIP CODE:
93274
CAPACITY:14CENSUS: 9DATE:
08/08/2019
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Raquel SanchezTIME COMPLETED:
12:25 PM
ALLEGATION(S):
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9
Adult in home used profanity towards day-care children.
Licensee allowed uncleared adults to reside in the home.
INVESTIGATION FINDINGS:
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LPAs Patricia Musso, and Diana Martinez arrived at this FCCH to conducted a complaint investigation today. During today's inspection, LPA Martinez provided and explained the findings of the above allegations in Spanish.
During prior inspections files were reviewed, home was toured both inside and outside,
and the reporting party, licensee, licensee's assistant and day care children were interviewed.
During this investigation, through interviews with licensee and other witnesses there is no proof that an adult in home used profanity towards day-care children or the licensee allowed uncleared adults to reside in the home.
Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore these allegations are being closed unsubstantiated.
Per California Code of Regulations Title 22, Division 12, Chapter 3, no deficiency was cited today on these allegations
Exit interview was conducted with licensee. Notice of site visit to be posted for 30 days.
LPAs viewed the LIC9213 being posted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Patricia MussoTELEPHONE: (559) 341-5422
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3