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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103808931
Report Date: 10/07/2022
Date Signed: 10/07/2022 12:18:24 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
07/22/2022 and conducted by Evaluator Ka Vang
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220722150450
FACILITY NAME:KIDZ CAN 2FACILITY NUMBER:
103808931
ADMINISTRATOR:ALEJANDREZ, NANCYFACILITY TYPE:
850
ADDRESS:130 NORTH U STREETTELEPHONE:
(559) 492-2907
CITY:FRESNOSTATE: CAZIP CODE:
93701
CAPACITY:48CENSUS: 13DATE:
10/07/2022
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Ezula AvilaTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Child left without supervision.
INVESTIGATION FINDINGS:
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On 10/07/2022, Licensing Program Analysts (LPAs) Ka Vang and Cynthia Brannon arrived at the facility to conducted an unannounced follow-up inspection to conclude the complaint investigation that was initiated on 07/27/2022. LPAs met with Ezula Avila and discussed the findings of the investigation. A tour of the facility was conducted both inside and outside. Census was taken.

During the course of the investigation, LPAs interviewed facility staff, day care children and other who had knowledge of the allegation and it was determinate that day care children are allowed to use the restroom without staff supervision.

Based on the interview and information attained during the investigation, there is a preponderance evidence that the facility left the day care child without supervision. Based on the above information, the allegation is found to be SUBSTANTIATED. A type “A” violation will be cited.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiency is being cited on the attached LIC 9099D, see next page.

(Continued on LIC 809-C).
Substantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2022
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-20220722150450
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: KIDZ CAN 2
FACILITY NUMBER: 103808931
VISIT DATE: 10/07/2022
NARRATIVE
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Upon receipt of a Type A violation, 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 copy of the Fact Sheet-Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee.

A Notice of Site Visit Form (LIC 9213) is required to post for 30 days.

Exit interview conducted and report was reviewed with the facility Representative Ezula Avila.

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20220722150450
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: KIDZ CAN 2
FACILITY NUMBER: 103808931
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/14/2022
Section Cited
HSC
101229(a)(1)
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101229(a)(1) Responsibility for Providing Care and Supervision. (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time…This requirement was not met as evidenced by:
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Licensee agreed to complete the training on child care supervision. Licensee is to submit in writing to Community Care Licensing-Fresno Regional Office the plan that this facility will put in place to ensure coverage exists for all children at all times. The written statement proof is to submit to Community Care
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Based on the investigation and interviews, it was substantiated that facility staff allow children to use the bathrooms alone and without supervision. This may pose a potential risk to the health, safety, or personal rights of children in care.
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 Licensing-Fresno Regional Office by 10/21/2022.
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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: Michael Duarte
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3