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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103810257
Report Date: 12/05/2024
Date Signed: 12/11/2024 01:48:18 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
09/30/2024 and conducted by Evaluator Yesenia Fierro
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20240930201916
FACILITY NAME:INCLUSION LEARNING CENTER-CLOVIS HILLS CHURCHFACILITY NUMBER:
103810257
ADMINISTRATOR:MONICA PETERSONFACILITY TYPE:
860
ADDRESS:10590 N WILLOW AVETELEPHONE:
(559) 360-5090
CITY:CLOVISSTATE: CAZIP CODE:
93619
CAPACITY:15CENSUS: 4DATE:
12/05/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Elisabed GonzalezTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Facility does not have adequate staffing to meet the needs of the daycare children in care.
INVESTIGATION FINDINGS:
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On December 05, 2024, Licensing Program Analyst (LPA) Yesenia Fierro conducted an unannounced complaint inspection. LPA met with Site Supervisor Elisabed Gonzalez and informed her of the purpose of the inspection was to provide the findings for the above allegation. LPA toured the facility, and a census was taken.

During the course of this investigation LPA Fierro conducted staff interviews and obtained facility paperwork. Based on inconsistencies with interviews, LPA was unable to gather sufficient evidence to determine whether the allegation occurred

Although the allegation may have happened or is valid. There is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Unsubstantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
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 4
Control Number 04-CC-20240930201916
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: INCLUSION LEARNING CENTER-CLOVIS HILLS CHURCH
FACILITY NUMBER: 103810257
VISIT DATE: 12/05/2024
NARRATIVE
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Per Title 22, Division 12, Chapter 1, no deficiencies are being cited. An exit interview conducted, and report was reviewed with Site Supervisor Elisabed Gonzalez,

Notice of Site Visit Form to be posted to parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4