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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103808558
Report Date: 08/17/2021
Date Signed: 08/17/2021 03:22:22 PM

Unsubstantiated


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
06/18/2021 and conducted by Evaluator Stefanie Galvan
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20210618122739
FACILITY NAME:SOUTHEAST FRESNO CHILD DEVELOPMENT CENTERFACILITY NUMBER:
103808558
ADMINISTRATOR:LAM, KUNTHEARFACILITY TYPE:
830
ADDRESS:5191 E TULARE STTELEPHONE:
(559) 252-6445
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY:9CENSUS: DATE:
08/17/2021
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director, Kunthear (Tia) LamTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Day-care child sustained injuries while in care.
Lack of supervision resulting in day-care child being hit by another child in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
An in-office meeting was held on 8/17/2021. In attendance were LPM Alice Juarez and LPAs Luisa Gavoutian and Stefanie Galvan. LPAs met with Director, Kunthear (Tia) Lam. LPAs reviewed the above listed allegations with the licensee. The purpose of today's meeting was to close the above complaint investigation. The investigation consisted of interviews with the director, staff and children, along with classroom observations. Verification of cross-reporting has been made with CCLD and CCIB. The incident is also reported to Fresno County CPS. Although the allegations may have happened or are valid, based on statements received during the investigation and observations, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegations are UNSUBSTANTIATED.
Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency cited during today's visit. Exit interview was conducted with Director, Kunthear Lam (Tia). A copy of this report along with appeal rights were discussed and given to Licensee/Director.
Unsubstantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Stefanie Galvan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
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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