<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073407353
Report Date: 06/17/2022
Date Signed: 06/28/2022 03:45:31 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/13/2022 and conducted by Evaluator Nyeesha Blount
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20220613115302
FACILITY NAME:CHIPRES, MARIA LOURDESFACILITY NUMBER:
073407353
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
06/17/2022
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:CHIPRES, MARIATIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights ~ Licensee restrains day care child in high chair
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPA Nyeesha Blount and LPM Mayla Mendoza conducted an unannounced complaint inspection and met with Licensee Maria Chipres to discuss the above allegation. Interviews were conducted. it was alleged that the licensee restrained a day care child. Upon arrival at the facility, LPA and LPM observed a child in a high chair with no food or drink, Licensee also states that she does place children in high chairs when she is cleaning the facility. Based on the LPA'S observations and interviews conducted the preponderance of evidence standard has been met, Therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations,(Title 22 Division & Chapter Number 101170), are being cited on the attached LIC9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2022
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 3
Control Number 02-CC-20220613115302
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: CHIPRES, MARIA LOURDES
FACILITY NUMBER: 073407353
VISIT DATE: 06/17/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The attached type A deficiency is cited today. Upon receipt, licensee shall post and provide copies of the licensing report to parent/guardians of the children in care the facility and to the parents/guardians of children newly enrolled at the facility during the next 12 months. an exit interview was conducted and the report discussed. Licensee was provided a copy of their appeal rights (LIC9058 12/15) and the signature on this form acknowledges receipt of these rights. A site visit notice was posted by licensee.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 02-CC-20220613115302
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: CHIPRES, MARIA LOURDES
FACILITY NUMBER: 073407353
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/17/2022
Section Cited
CCR
102423(a)(4)
1
2
3
4
5
6
7
102423(a)(4) Personal Rights: To be free from corporal or unusual punishment, inflection of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of punitive nature, including, but not limited to: interference with eating, sleeping, or toileting; or withholding shelter, clothing, medication or aids to physical functioning.
1
2
3
4
5
6
7
POC by 6/18/22, Licensee will watch Personal Rights video on child care website at ccld.ca.gov and write a summary of the video. Licensee will also state how she will utilize the high chairs without violating personal rights. Summary and plan shall be sent to LPA Nyeesha Blount.
8
9
10
11
12
13
14
This requirement was not met as evidenced by observation of LPA and LPM, interviews conducted . Licensee restrains children while cleaning, LPA and LPM observed a child in high chair with no food or drink. this poses an immediate health risk to the Personal Rights of children in care.
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.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3