153904504-9-27-2022-57-CC-LGAN-CJR2AB-20220929171315

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 153904504
Report Date: 09/27/2022
Date Signed: 09/27/2022 01:33:18 PM

Unsubstantiated

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
06/23/2022 and conducted by Evaluator Theresa Marquez

PUBLIC

COMPLAINT CONTROL NUMBER: 57-CC-20220623124834

FACILITY NAME:	FERNANDEZ, MARIA FAMILY CHILD CARE		FACILITY NUMBER:	153904504
ADMINISTRATOR:	FERNANDEZ, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 664-8973
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93311
CAPACITY:	14	CENSUS: 5	DATE:	09/27/2022
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Maria Fernandez		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Child sustained a fracture while in care.

Child sustained multiple unexplained bruises while in care.

INVESTIGATION FINDINGS:

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On 9/27/2022, Licensing Program Analyst (LPA) Theresa Marquez conducted an unannounced complaint inspection with Licensee Maria Fernandez. Licensees son was present to translate this report to licensee. The purpose of the inspection was to interview licensee and provide findings for the above complaint allegations.

The Department of Social Services Investigations Branch (IB) along with LPA Robert Gutierrez conducted the investigation regarding the above allegations. During the course of the investigation, IB Investigator Monica Lopez, conducted interviews with witnesses and day care parents. In addition, copies of pertinent records were obtained. During the course of the investigation, it was determined that Child #1 (C1) was dropped off by parent #1. C1 was at the facility for about 30 minutes and was directed by the licensee to wash their hands. C1 got off the couch and started to crawl to the restroom. It was at this moment, licensee noticed something was wrong with C1 and contacted Parent #2 (P2). P2 was informed C1 was not walking correctly and was taken to the doctor. While at the doctor’s office it was determined C1 had sustained a leg injury. As for the bruises, it is unknown if the bruises occurred while at the day care facility. Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

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-20220623124834

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: FERNANDEZ, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 153904504
	VISIT DATE: 09/27/2022

NARRATIVE

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Although the allegation may have happened or may be valid, there was not a preponderance of the evidence found during the investigation to prove that any injury or bruising to C1 occurred while in care and/or was the result of a violation of the regulations; therefore, the allegations are unsubstantiated. An exit interview was conducted with Licensee Maria Fernandez. A copy of this report, Licensee Appeal Rights and the Notice of Site visit were provided and discussed with Maria Fernandez.

Per California Code of Regulations, Title 22, Division 12 Chapter 3, no deficiency cited.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

LIC9099 (FAS) - (06/04)

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