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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543910034
Report Date: 08/10/2021
Date Signed: 08/10/2021 11:43:55 AM



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
07/07/2021 and conducted by Evaluator Peter Espinoza
COMPLAINT CONTROL NUMBER: 04-CC-20210707140433
FACILITY NAME:RICE, BLANCA FAMILY CHILD CAREFACILITY NUMBER:
543910034
ADMINISTRATOR:RICE, BLANCAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 306-2215
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 7DATE:
08/10/2021
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:April Rice, AssistantTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
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9

Licensee used an excessive punishment on a child in care
INVESTIGATION FINDINGS:
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2
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13
On 08/10/2021, Licensing Program Analyst (LPA) Pete Espinoza arrived at the facility unannounced to complete the investigation into the above allegation. LPA met with April Rice, Assistant. and toured the facility. LPA explained the reason for this inspection and census was taken.

Based upon observations and information gathered through interviews, this agency has investigated the complaint alleging Licensee used an excessive punishment on a child in care. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegations are UNSUBSTANTIATED.
An exit interview was conducted with April Rice, Assistant and appeal rights were explained. A printed copy of the report as well as a printed copy of appeal rights was provided at the conclusion of the visit.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2021
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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