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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103808850
Report Date: 12/15/2020
Date Signed: 09/06/2023 12:33:53 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, 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
09/16/2020 and conducted by Evaluator Jose Penate
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20200916122609
FACILITY NAME:STARTING BLOCKS CHILDREN'S ACADEMYFACILITY NUMBER:
103808850
ADMINISTRATOR:ERMELINDA PEREZFACILITY TYPE:
850
ADDRESS:3315 E SIERRA MADRETELEPHONE:
(559) 227-7036
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY:39CENSUS: 13DATE:
12/15/2020
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Director, Ermelinda PerezTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Director yells at daycare child.

Staff handled daycare child in a rough manner.
INVESTIGATION FINDINGS:
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On 12/15/20, Licensing Program Analyst (LPA) Jose Penate conducted an unannounced complaint inspection to provide complaint findings. LPA met with Director, Ermelinda Perez. LPA discussed the allegation(s) and took a census. During the course of the complaint LPA interviewed staff, witnesses and reviewed facility records and viewed video surveillance from the facility. Based on video surveillance conducted and informaiton gathered, the preponderance of evidence standard has been met, therefore the above allegations of Director yells at daycare child(ren) and Director handled daycare child in a rough manner are found to be SUBSTANTIATED.

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. A completed signed copy of the LIC 9224 will be placed in each child's file.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, these deficiencies are being cited on the attached LIC 9099D.

An exit interview conducted with Director, Ermelinda Perez. A copy of this report and Appeal Rights were provided and discussed with Ermelinda Perez.

A Notice of Site Inspection Form was posted to parent's board and must remain posted for 30 days.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2020
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-20200916122609
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: STARTING BLOCKS CHILDREN'S ACADEMY
FACILITY NUMBER: 103808850
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/15/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/15/2020
Section Cited
CCR
101223(a)(1)
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The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as
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Director stated that she will take a second prior to dealing with any situation that requires extra attention to a daycare child. She will think-breathe and then react on any situation.
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evidenced by: Based on video observation, the director did not comply with the section cited above. LPA observed director grab child in a rough manner and put/place him down on the sleeping cot for nap. This is an immediate health & safety risk to children in care.
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Type B
12/15/2020
Section Cited
CCR
101223(a)(1)
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The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as
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Director stated that she will take child to her office so she can speak to them and find out what the problem is. She will not make a child put his/her head down on table at any time.
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evidenced by: Based on video observation, the director did not comply with the section cited above. LPA observed director instruct child to keep head down on table for a period of time. This 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.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3