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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 150405399
Report Date: 10/11/2021
Date Signed: 10/11/2021 01:20:26 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
08/09/2021 and conducted by Evaluator Peter Espinoza
COMPLAINT CONTROL NUMBER: 04-CC-20210809102857
FACILITY NAME:GREENFIELD COUNTRY PRE-SCHOOLFACILITY NUMBER:
150405399
ADMINISTRATOR:HASKINS/HALLFACILITY TYPE:
850
ADDRESS:7690 S. UNION AVENUETELEPHONE:
(661) 834-8184
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY:75CENSUS: 48DATE:
10/11/2021
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Traci Myers, DirectorTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff yelled at child

Staff spoke inappropriately to child in care
INVESTIGATION FINDINGS:
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On 10/11/2021, Licensing Program Analyst (LPA) Pete Espinoza arrived at the facility unannounced to complete the investigation into the above allegation. LPA met with Traci Myers, Director. and toured the facility. LPA explained the reason for this inspection with Director and census was taken.

Based upon observations and information gathered through interviews, the Licensing agency has determined the preponderance of evidence standards has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter (1/3), are being cited on the attached LIC 9099D.
An exit interview was conducted with Traci Myers, Director and appeal rights were explained. A printed copy of this report as well as a printed copy of the appeal rights was provided at the conclusion of the visit.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2021
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-20210809102857
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: GREENFIELD COUNTRY PRE-SCHOOL
FACILITY NUMBER: 150405399
VISIT DATE: 10/11/2021
NARRATIVE
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Notes:
* Any Licensing reports indicating a Type A deficiency shall be posted immediately and for the next 30 days and copies provided 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 1596.8595(c). Health & Safety Section 1596.859(a) shall be cited and a civil penalty of $100.00 for failure to provide copies to parents/guardians of children in care and newly enrolled children, and for failure to maintain written verification of receipt of licensing reports indicating a Type A violation (LIC 9224).

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20210809102857
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: GREENFIELD COUNTRY PRE-SCHOOL
FACILITY NUMBER: 150405399
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/11/2021
Section Cited
CCR
101223(a)(3)
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Personal Rights - The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature... This requirement is not met as evidenced by interviews with
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Plan of correction for this deficiency was addressed with citation dated 08/27/2021.
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witnesses conducted during complaint investigation. Staff yelled at child and spoke inappropriately to child in carehandled child in a rough manner. This poses an immediate risk to the health, safety or personal rights of children in care.
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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: Diana deLeon
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3