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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103810192
Report Date: 12/16/2024
Date Signed: 12/16/2024 02:15:31 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 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
10/09/2024 and conducted by Evaluator Valerie Mireles
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20241009090217
FACILITY NAME:FOUNDATIONS SUCCESS ACADEMYFACILITY NUMBER:
103810192
ADMINISTRATOR:ROSHUNDA ICE TAYLORFACILITY TYPE:
850
ADDRESS:4333 N WEST AVETELEPHONE:
(559) 960-4942
CITY:FRESNOSTATE: CAZIP CODE:
93705
CAPACITY:51CENSUS: 14DATE:
12/16/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Roshunda Ice TaylorTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff inappropriately restrains day care children in highchair.
INVESTIGATION FINDINGS:
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On 12/16/2024, Licensing Program Analyst (LPA) Valerie Mireles conducted a complaint inspection at the facility to deliver the findings of the above listed allegation. LPA met with Administrator Roshunda Ice Taylor, interviewed staff, toured the facility, and took a census.

During the course of the investigation, LPA Mireles reviewed facility records, obtained documents pertinent to the investigation, conducted interviews with staff and parents. Due to inconsistent statements obtained, the information did not corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide 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 being cited. Exit interview conducted with the Administrator, Roshunda Ice Taylor. Continued to LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024
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 2
Control Number 04-CC-20241009090217
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FOUNDATIONS SUCCESS ACADEMY
FACILITY NUMBER: 103810192
VISIT DATE: 12/16/2024
NARRATIVE
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A copy of this report and Appeal Rights were provided and discussed. A Notice of Site Visit (LIC 9213) form will be posted on the facility's parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2