103810104-9-28-2023-04-CC-CBRN-CWAM95-20231004092407

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 103810104
Report Date: 09/28/2023
Date Signed: 09/28/2023 10:57:58 AM

Unsubstantiated

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
08/11/2023 and conducted by Evaluator Julie Baptista

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20230811112435

FACILITY NAME:	JACK & JILL'S EARLY CHILD DEVELOPMENT CENTER, INC		FACILITY NUMBER:	103810104
ADMINISTRATOR:	GRAVES, EARLINE EVETTE		FACILITY TYPE:	850
ADDRESS:	969 S WILLOW AVE		TELEPHONE:	(559) 255-8817
CITY:	FRESNO	STATE: CA	ZIP CODE:	93727
CAPACITY:	66	CENSUS: 33	DATE:	09/28/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Raquel Moreno		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Facility staff are operation out of ratio.

INVESTIGATION FINDINGS:

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On 9/28/23 Licensing Program Analyst (LPA) Julie Baptista conducted an unannounced visit to deliver findings for complaint allegations. LPA met with Office Manager, Raquel Moreno. LPA reviewed the allegation, and toured the facility, inside and outside. LPA observed 33 preschool children and 6 staff.
On 8/17/23, LPA observed two qualified teachers supervising 13 children in the school age classroom at 7:20 AM. Per staff in the classroom, the children were of different ages and would be going to other classrooms soon. During the inspection on 8/17/23, several more children arrived at about the same time that other teachers arrived to take children to classrooms. During the inspection, LPA conducted interviews and reviewed records. Due to conflicting information, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency is cited during today's visit. An exit interview with Office Manager was conducted and a copy of this report and appeal rights were discussed and given to Office Manager.
Notice of Site Visit to be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Julie Baptista
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

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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