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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 100404093
Report Date: 01/25/2024
Date Signed: 01/25/2024 02:35:04 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-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
01/12/2024 and conducted by Evaluator Stephanie Vega-Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20240112164624
FACILITY NAME:FUSD-SCANDINAVIAN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
100404093
ADMINISTRATOR:MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:3360 NORTH SIERRA VISTATELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY:53CENSUS: 32DATE:
01/25/2024
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Jacqueline BurrellTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Facility staff hit daycare child.
INVESTIGATION FINDINGS:
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On 1/25/2024, Licensing Program Analyst (LPA) Stephanie Vega-Gonzalez conducted an unannounced complaint inspection at facility to deliver a finding for the above-mentioned allegation. LPA met with Site Supervisor, Jacqueline Burrell who did not accompanied LPA during tour of facility. LPA toured the facility both inside and outside and took a census. LPA explained the reason for the inspection and explained the allegation. On today’s date LPA obtained recent facility records regarding the allegation.

On 01/11/2024 Community Care Licensing (CCL) received an Unusual Incident Report (UIR) regarding Child 1’s personal rights being violated by Staff 1. It was reported that Site Supervisor and staff had followed facility procedures to ensure the safety of Child 1 and other children present. Site Supervisor stated that she had followed procedures in regards to, communicating with the respected authorities, CCL, and child’s parents. LPA was informed that Staff 1 was terminated from volunteering at preschool center on 01/11/2024.

(Continue on LIC9099-C)
Substantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024
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-20240112164624
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FUSD-SCANDINAVIAN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 100404093
VISIT DATE: 01/25/2024
NARRATIVE
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Site Supervisor stated that the center will no longer accept volunteers until a screening procedure is put into place. Site supervisor stated that procedure will include the following: How volunteers will be screened and placed in classrooms that meets children’s needs. What type of training's volunteers will obtain in order to understand the importance of Licensing regulations such as, Children’s Personal Rights. Site Supervisor stated that she will host a training for all staff regarding procedures that ensures the safety of children in care. Even though staff did follow procedures, a child’s personal rights was violated while child was being cared and supervised by center staff.

LPA interviewed Site Supervisor, Day Care Staff, reviewed facility records, and obtained copies of reports of respected authorities. Investigation revealed through evidence obtained that the allegation, Facility staff hit daycare child, is SUBSTANTIATED. Based upon observations, and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is being cited on the attached LIC 9099D. A Type A deficiency was cited on today’s date.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months." The licensee was provided a copy of the "Fact Sheet" for AB 633 (Parent Notification Requirements), along with a copy of the relevant documents this date. A completed signed copy of the LIC 9224 will be placed in each child's file.

LPA printed and provided a copy of Regulation, 101223. LPA reviewed regulation with Site Supervisor.

An exit interview was conducted with Site Supervisor, Jacqueline Burrell. A copy of this report and Appeal Rights were provided and discussed with Site Supervisor, Jacqueline Burrell.
A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20240112164624
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FUSD-SCANDINAVIAN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 100404093
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
01/26/2024
Section Cited
CCR
101223101223
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101223 Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights:(3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule ... This requirement was not met as evidenced by
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Licensee stated that a procedure would be put in place for the screening of volunteers. Licensee stated that copies of procedures will be provided to Community Care Licensing (CCL). Licensee stated that a training will be held with staff regarding the incident that occurred on 01/11/2024, and how staff
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Staff 1 violated Child 1's personal rights on 01/11/2024. As stated in LIC9099 and LIC9099-C. This poses an immediate Health and Safety risk to children in care.
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will ensure the safety and care of all children in care. In addition, Licensee will review regulation Personal Rights with staff. Licensee stated that she will submit proof of training agenda to CCL by POC due date 1/26/2024 and then provide proof of volunteer procedures and staff signatures on a later date.
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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.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024
LIC9099 (FAS) - (06/04)
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