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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153910678
Report Date: 07/02/2024
Date Signed: 07/02/2024 12:55:28 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 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
06/03/2024 and conducted by Evaluator Christopher Burnias
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20240603162705
FACILITY NAME:MEJIA, SANDRA FAMILY CHILD CAREFACILITY NUMBER:
153910678
ADMINISTRATOR:MEJIA, SANDRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 346-7158
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY:14CENSUS: 8DATE:
07/02/2024
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Sandra MejiaTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Due to a lack of supervision daycare children wandered away from the facility
Licensee did not meet reporting requirements
INVESTIGATION FINDINGS:
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On July 02, 2024, Licensing Program Analyst (LPA) Christopher Burnias and Licensing Program Manager (LPM) Luisa Gavoutian arrived at the facility to conduct an unannounced complaint investigation. The purpose of this inspection was to deliver findings regarding the above listed allegation. LPA met with Licensee Sandra Mejia.

During the complaint investigation LPA completed thorough parent and staff interviews and interviewed Licensee on policy and procedures in her facility. Based off the information obtained it was determined that two children had wandered away from the day care facility due to lack of supervision from Licensee and staff. It was determined that the two children had run out from the unlocked side gate of the facility and ran a distance of approximately 200 feet away from the facility unsupervised. It was also determined that the Licensee did not report to parents or the Department, an incident that occurred in which two children had wandered away from the day care facility unsupervised.
**Continued on LIC 9099-C**
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
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 5
Control Number 57-CC-20240603162705
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: MEJIA, SANDRA FAMILY CHILD CARE
FACILITY NUMBER: 153910678
VISIT DATE: 07/02/2024
NARRATIVE
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Based upon observations, and information gathered through interviews, the preponderance of evidence standard has been met,. 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 the attached LIC 9099D.

LPA Burnias informed licensee Sandra Mejia that this report dated 07/02/2024 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 Burnias informed the licensee to provide a copy of this licensing report dated 07/02/2024 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. Civil Penalty has been assessed.

Exit interview conducted with Licensee Sandra Mejia. Notice of Site Visit Form to be posted to parent's board and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 57-CC-20240603162705
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: MEJIA, SANDRA FAMILY CHILD CARE
FACILITY NUMBER: 153910678
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/02/2024
Section Cited
CCR
102417(a)
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102417(a) – The licensee shall be present in the home and shall ensure that children are supervised at all times. This requirement was not met as evidenced by information obtained through interviews that confirm that two children wandered away from the day care facility unsupervised. This poses an
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Conduct training with staff covering the topic of supervision of children. Licensee to complete Unusual Incident Report for the incident where children wandered away from the facility and submit the report to the Department.
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immediate risk to the health and safety or personal rights of children.
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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: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 57-CC-20240603162705
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: MEJIA, SANDRA FAMILY CHILD CARE
FACILITY NUMBER: 153910678
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/02/2024
Section Cited
CCR
102416.2(g)
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In addition to the requirements in Health and Safety Code Section 1597.467(a), no later than the same business day, the licensee shall notify a child’s parent or authorized representative of the events to be reported to the Department...This requirement was not met asevidenced by information obtained in
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interviews that show that Licensee did not notify Parents or the Department of an incident where two children had wandered away from the day care facility unsupervised. This poses a potential risk to the health and safety or personal rights of children.

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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: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5