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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543910235
Report Date: 10/06/2022
Date Signed: 10/06/2022 02:00:06 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
09/13/2022 and conducted by Evaluator Nancy Her
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20220913084102
FACILITY NAME:HAWTHORNE, JULIE FAMILY CHILD CAREFACILITY NUMBER:
543910235
ADMINISTRATOR:HAWTHORNE, JULIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 553-2366
CITY:TULARESTATE: CAZIP CODE:
93274
CAPACITY:14CENSUS: 3DATE:
10/06/2022
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Julie HawthorneTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Daycare child was inappropriately restrained in a high chair while in care..
INVESTIGATION FINDINGS:
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On 10/06/2022 Licensing Program Analyst (LPA) Nancy Her arrived at the facility to close the complaint investigation regarding the above allegation. LPA met with Licensee Julie Hawthorne.

Based upon interviews, and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, the following deficiency is being cited on the attached LIC 9099D.

Exit interview conducted and report was reviewed with the facility representative Julie Hawthorne.

A notice of site visit was given and must remain posted for 30 days.
Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Nancy HerTELEPHONE: (559) 341-5422
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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 2
Control Number 57-CC-20220913084102
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: HAWTHORNE, JULIE FAMILY CHILD CARE
FACILITY NUMBER: 543910235
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
10/12/2022
Section Cited
CCR
102423(a)(2)
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Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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Licensee will complete a statement regarding the safety of children, and submit to Fresno Community Care Licensing by 10/12/2022.
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This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above. Licensee stated she straps children into the highchair while prepping meals which poses a potential health, safety or personal rights risk to persons 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.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Nancy HerTELEPHONE: (559) 341-5422
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2