543909731-7-2-2021-04-CC-DMAA-C68TAU-20210825143404

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 543909731
Report Date: 07/02/2021
Date Signed: 07/02/2021 12:10:30 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
06/15/2021 and conducted by Evaluator Jose Penate

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210615140950

FACILITY NAME:	SANCHEZ, RAQUEL FAMILY CHILD CARE		FACILITY NUMBER:	543909731
ADMINISTRATOR:	SANCHEZ, RAQUEL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 602-0305
CITY:	TULARE	STATE: CA	ZIP CODE:	93274
CAPACITY:	14	CENSUS: 6	DATE:	07/02/2021
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Licensee, Raquel Sanchez		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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There are uncleared adults in the home.

INVESTIGATION FINDINGS:

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On 7/2/2021, Licensee Program Analysts (LPA's) Jose Penate and Araceli Gibson conducted an inspection due Amending previous inspection report conducted on 6/24/2021. The reason to previous inspection report being Amended was due to LPA Gibson not being added on as a joint visit.

On today’s visit LPA’s surveillance the home for approx. 5-10MINS. Visual observation was made by LPA Penate of Adult Male (AM) exit the residence from the fence/gate located on the NW of the home. LPA Gibson then met with the AM and confirmed his identity and interviewed him as well.

LPA’s Interviewed Licensee and Assistant to confirm the presence of AM being in the home on today’s date as well as previous inspection date of 6/24/21. Both Licensee and Assistant confirmed the name and the relation to the AM.

Conitnued of 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Jose Penate	TELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021

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 04-CC-20210615140950

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: 07/02/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/02/2021 Section Cited CCR 102370(a)(d)(1)	1 2 3 4 5 6 7	Criminal Record Clearance - Section 102370(a)(d)(1): All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a	1 2 3 4 5 6 7	Licensee states that she and her assistant will ensure that they will only allow adults in the facility that have a fingerprint clearance. Licensee states that she will ensure that all doors and entryways will be locked for no accessability for non fingerprinted Adult Male.
	8 9 10 11 12 13 14	licensed facility, obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by LPAs observations on 7/2/21, that revealed that the excluded male adult was in the home during day care hours when six day care children were in licensee care. This poses an immediate risk to the health, safety, or personal rights of children in care. Immediate $1,000.00 civil penalty assessed for repeat offense.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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 Matsubara	TELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Jose Penate	TELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021

LIC9099 (FAS) - (06/04)

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Control Number 04-CC-20210615140950

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
	VISIT DATE: 07/02/2021

NARRATIVE

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Based on the observation and Interviews conducted, it has been determined that an Adult Male without fingerprint/criminal background clearance by the Department was present at the facility during day care hours on at least two different occasions. The preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED.

Licensee is advised to make this licensing report accessible to the public and to provide copies of this licensing report and LIC809-D with Type A citation to parents/legal guardians of children in care and to parents/legal guardians of children newly enrolled at the facility during the next 12 months. Licensee is to keep verification of receipt (LIC9224) in each child's file at the facility.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, deficiency cited (See LIC 809-D).

This report shall be made available to the public upon request.

LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Jose Penate	TELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021

LIC9099 (FAS) - (06/04)

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