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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103808916
Report Date: 08/12/2021
Date Signed: 08/12/2021 12:24:33 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
05/26/2021 and conducted by Evaluator Angelica Slaughter
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20210526115418
FACILITY NAME:EDUCARE EARLY STARS PRESCHOOLFACILITY NUMBER:
103808916
ADMINISTRATOR:BLANCAS, MARIAFACILITY TYPE:
850
ADDRESS:5202 N. BLYTHETELEPHONE:
(559) 271-7827
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY:96CENSUS: 22DATE:
08/12/2021
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Angelica ArroyoTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Facility staff are not wearing a mask.
INVESTIGATION FINDINGS:
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On 08/12/21, Licensing Program Analyst (LPA) Angelica Slaughter conducted a follow up complaint inspection at the facility and met with facility Program Director to discuss the above complaint allegation.

During the course of the investigation, LPA conducted an inspection of the facility, reviewed documentation, interviewed staff and parents. Based on LPAs observation and the information obtained, there is a preponderance of the evidence to prove facility staff are not wearing a mask; therefore, the allegation is substantiated.

Per California Code of Regulation, Title 22, Division 12, a deficiency is being cited (continued on page 9099 D). Appeal rights were provided. A Notice of Site Visit (LIC 9213) was given.

This report shall be made available to the public upon request.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Angelica Slaughter
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
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-20210526115418
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: EDUCARE EARLY STARS PRESCHOOL
FACILITY NUMBER: 103808916
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/12/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/26/2021
Section Cited
CCR
101223(a)(2)
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Personal Rights - To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This regulation was not met as evidenced by: On multiple occasions Staff #1 and #2 did not ensure the personal rights of persons in care to safe and healthful
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Program Director will conduct staff meetings on how to properly wear masks at the facility. A posting will be placed in the staff break room as well to remind staff of the requirement to wear masks at the facility. Program Director is currently on site at the facility until
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accommodations in that facility staff did not properly wear face coverings while in the facility as required by the CA Dept. of Public Health Guidance on the Use of Face Coverings issued June 18, 2020 and updated Nov. 16, 2020, and an individual mask exception did not apply.
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Site Supervisor returns. She will ensure staff are properly wearing masks and will discuss with Site Supervisor when she reurns from leave. A completed POC will be due to CCLD by the POC due date of 08/26/21.
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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: Diana deLeon
LICENSING EVALUATOR NAME: Angelica Slaughter
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
LIC9099 (FAS) - (06/04)
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