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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153908072
Report Date: 05/29/2024
Date Signed: 05/29/2024 07:52:57 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH 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
03/18/2024 and conducted by Evaluator Paul Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20240318085139
FACILITY NAME:JUAREZ, MARIA FAMILY CHILD CAREFACILITY NUMBER:
153908072
ADMINISTRATOR:JUAREZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 589-8869
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93314
CAPACITY:14CENSUS: 0DATE:
05/29/2024
UNANNOUNCEDTIME BEGAN:
07:05 AM
MET WITH:Maria JuarezTIME COMPLETED:
08:15 AM
ALLEGATION(S):
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Licensee neglect resulted in a daycare child sustaining multiple injuries.
INVESTIGATION FINDINGS:
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On May 29, 2024, Licensing Program Analyst (LPA) Paul Garcia conducted an unannounced complaint inspection to provide findings. LPA met with Licensee, Maria Juarez. A tour of the facility was conducted, and a census was taken.

The complaint investigation was completed by Investigator, Mariana Lomeli with the Department of Social Services Community Care Licensing Investigations Branch (IB).

Based on the investigation completed by Investigator Lomeli, the preponderance of evidence has been met, due to neglect when the licensee’s dog bit Child 1 (C1). C1 sustained a superficial puncture wound over the dorsum of the right hand as well as the palmar aspect of the wrist. There was also a three-centimeter laceration to the radial aspect of the right wrist, and it was repaired with three sutures. A splint was applied for an open buckle fracture of the right forearm due to neglect... Continued on LIC9099-C

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
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 3
Control Number 57-CC-20240318085139
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: JUAREZ, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 153908072
VISIT DATE: 05/29/2024
NARRATIVE
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which resulted in a personal rights violation to C1, therefore the above allegation is found to be SUBSTANTIATED.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited on LIC 9099D. LPA informed Licensee Maria Juarez that this report dated May 29, 2024, documents one (1) Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Garcia informed the Licensee Maria Juarez to provide a copy of this licensing report dated May 29, 2024, that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted with Licensee Maria Juarez. A Notice of Site Visit Form shall be posted to parent's board and must remain posted for 30 days. Licensee was provided a copy of appeal rights. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 57-CC-20240318085139
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: JUAREZ, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 153908072
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/29/2024
Section Cited
CCR
102423(a)(2)
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102423 (a) Each child receiving services from a family childcare home shall have certain rights...These rights include...(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
This requirement was not met as evidenced by:
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Enhanced civil penalty of $2,000 are being
assessed and issued. A copy of section 102423(a)(2) was provided.
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Based on interviews and records review
conducted during IB investigation. Child 1 (C1) sustained injuries described in the LIC 9099. This poses as an immediate risk to the health, safety, or personal rights of children in care.
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 Licensee was informed that she must attend an informal meeting on June 18, 2024, at the Fresno Regional Child Care Office.
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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: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2024
LIC9099 (FAS) - (06/04)
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