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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103810120
Report Date: 03/30/2022
Date Signed: 03/30/2022 12:33:01 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
02/16/2022 and conducted by Evaluator Ruby Ocegueda
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220216143539
FACILITY NAME:YOUNG WORLD: CHILDREN'S LEARNING CENTERFACILITY NUMBER:
103810120
ADMINISTRATOR:BREWER, MARCOFACILITY TYPE:
850
ADDRESS:750 SIERRA AVETELEPHONE:
(559) 298-7800
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY:70CENSUS: 18DATE:
03/30/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Joslyn DixonTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Child injured while in care.

Facility did not report incidents with authorized representative.
INVESTIGATION FINDINGS:
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On 3/30/2022, Licensing Program Analyst (LPAs) Ruby Ocegueda and Ka Vang conducted an unannounced complaint inspection at the facility. LPAs' met with school Director Joslyn Dixon. The purpose of the inspection was to deliver the findings for the above complaint allegation. A tour of the facility was conducted, and a census was taken.

During the course of the investigation, LPA Ocegueda collected facility records and conducted multiple interviews of the reporting party, staff, parents and children.

Report continued to 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022
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-20220216143539
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: YOUNG WORLD: CHILDREN'S LEARNING CENTER
FACILITY NUMBER: 103810120
VISIT DATE: 03/30/2022
NARRATIVE
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Continued from previous 9099 page

In regard to the allegation indicating “child injured while in care”, multiple interviews and record review was conducted. Interviews and record review revealed that on 2/14/2022, child #2 sustained multiple wood splinters on both his/her feet due to being allowed by staff to walk barefoot on an area filled with wood chips in the accessible play yard. Per interviews obtained, the activity was spontaneous and involved multiple children being allowed to walk barefoot on the wood chips after they had mud play in the sand, causing child #1 to sustain multiple wood splinters.

In regards to the allegation indicating “facility did not report incidents with authorized representative”, multiple interviews revealed that the facility did not report an incident to the authorized representative in which child #1 was hit on the left side of his/her head by child #2 while child #2 was swinging on a swing. Per interview, this incident occurred on or about early February 2022. The exact date is unknown as there was no internal documentation by the facility. Per multiple interviews, child #1, showed he/she was hurt by the hit directly after the incident (crouched down and cried for approximately 5 minutes). Due to the facility not informing the authorized representative, the authorized representative could not have assessed whether child #1 needed a medical assessment or further observation at home.

This agency investigated the complaint alleging that “child injured while in care” and “facility did not report incidents with authorized representative” and has determined that the complaint allegations were SUBSTANTIATED, meaning the preponderance of evidence standard has been met.

An exit interview was conducted with Director Joslyn Dixon. Today, LPA Ocegueda reviewed Reporting Requirements and Personal Rights.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, the following deficiencies were cited today: (see 9099-D). Appeal Rights were provided today. Notice of Site Visit LIC 9213 must be posted for 30 days.
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 04-CC-20220216143539
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: YOUNG WORLD: CHILDREN'S LEARNING CENTER
FACILITY NUMBER: 103810120
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/30/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/13/2022
Section Cited
CCR
101212(f)
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Reporting Requirements. (f)The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement was not met as evidenced by: interview.
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Director stated that she will be conducting a training on reporting requirements with staff. Director stated she would submit a training agenda with staff list and signatures attached to show they attended. Proof will be submitted to the Department by POC date: 4/13/2022.
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Staff did not inform authorized representative that child #1 was hit on the head, preventing parent from determining if child#1 needed medical assessment or further observation. This poses a potential risk to the health, safety and or personal rights of children in care.
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Type B
04/13/2022
Section Cited
CCR
101223(a)(2)
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Personal Rights (2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by: interview and record review.
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Director stated that she will be conducting a meeting discussing personal rights and rules of water play. Proof of training with attached staff list and signature page will be submitted by POC date: 4/13/2022.
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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: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3