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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 100404094
Report Date: 10/23/2024
Date Signed: 10/23/2024 10:34:44 AM

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
09/23/2024 and conducted by Evaluator Priscilla Zamudio
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20240923165029
FACILITY NAME:FUSD-WEBSTER CHILD DEVELOPMENT CENTERFACILITY NUMBER:
100404094
ADMINISTRATOR:BECKWITH, KIMFACILITY TYPE:
850
ADDRESS:930 N. AUGUSTATELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93701
CAPACITY:66CENSUS: 23DATE:
10/23/2024
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Luis FigueroaTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff did not comply with parent notification requirements.
INVESTIGATION FINDINGS:
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On 10/23/24, Licensing Program Analyst (LPA) Priscilla Zamudio conducted a complaint inspection at the facility for the purpose of delivering the finding to the above listed allegation. LPA met with Site Supervisor, Luis Figueroa, toured the facility and took a census.

During the course of the investigation, LPA Zamudio conducted interviews with parents and staff. Interviews and record review revealed that the facility did not provide information regarding a Type A citation to parents, upon receipt.

Based upon the information gathered, this agency determined that 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, deficiency will be cited (see 9099-D). Exit interview conducted with the Site Supervisor, Luis Figueroa.

A copy of this report and Appeal Rights were provided and discussed. A Notice of Site Visit (LIC 9213) form will be posted on the facility's parent's board and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024
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 2
Control Number 04-CC-20240923165029
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-WEBSTER CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 100404094
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/23/2024
Section Cited
CCR
1596.8595(c)(1)
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1596.8595(c)(1) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation ... (1) of subdivision (a) of Section 1596.893b. This requirement was not met as evidence by:
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Per Site Supervisor, all enrolled families have received a copy of the licensing report and signed LIC 9224 ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS which will be kept on file. Deficiency cleared.
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Based on statements made and records reviewed, multiple children’s files were missing LIC 9224 and copies of licensing reports were not provided to all parents upon receipt by the licensee. This posed a potential risk to the health, safety, or personal rights of children 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.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2