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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153808774
Report Date: 03/08/2023
Date Signed: 03/08/2023 12:34:18 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH 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
02/28/2023 and conducted by Evaluator Jose Penate
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20230228085047
FACILITY NAME:SIERRA MONTESSORI CHILDREN'S CENTERFACILITY NUMBER:
153808774
ADMINISTRATOR:GLORIBEL MAGANAFACILITY TYPE:
850
ADDRESS:3800 WIBLE ROADTELEPHONE:
(661) 836-9769
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:80CENSUS: 26DATE:
03/08/2023
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Hailey SimomTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff did not prevent day care child from engaging in inappropriate behaviors
INVESTIGATION FINDINGS:
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On 03/08/2023, An unannounced complaint inspection was conducted today by Licensing Program Analyst (LPA), Jose Penate. LPA met with Licensee, Hailey Simon. During investigation, LPA interviewed staff, and gathered information.
With the allegation of, Staff did not prevent day care child from engaging in inappropriate behaviors, was investigated and based off interviews conducted and information received, there is evidence and it indicates when a child is having difficulty at the facility and being address with the parent after mulitple occasions. The facility is not following the School Operating Policies located on subdivision E of the agreement, which in term violates the health and safety of all children in care.

This agency has investigated the complaint. After information gathered the above allegation has determined that licensee is not following policy in place to ensure the safety and personal rights of all children in care are being followed. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, deficiency cited (see LIC 9099-D).

An exit interview was conducted with Licensee, Hailey Simon.

A printed copy of this report as well as appeal rights were provided Licensee, Hailey Simon at the conclusion of the visit.

A Notice of Site Visit Form was posted on parent's board and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
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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Control Number 57-CC-20230228085047
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: SIERRA MONTESSORI CHILDREN'S CENTER
FACILITY NUMBER: 153808774
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/08/2023
Section Cited
CCR
101223(a)(1)
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(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet
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Licensee will insure to document all incidents that occur at the facilty (ouch/incident log) and document when the parent/teacher meetings are held after discussions. Licensee will ensure to follow all policies in place.
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his/her needs. Based on interviews conducted it has been determined Staff did not prevent day care child from engaging in inappropriate behaviors. This is a potential health and safety risk to 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: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3