153910947-2-23-2023-57-CC-SFAG-CPL2G9-20230303162246

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 153910947
Report Date: 01/12/2023
Date Signed: 02/23/2023 10:45:17 AM

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
12/21/2022 and conducted by Evaluator Jessika Thompson

PUBLIC

COMPLAINT CONTROL NUMBER: 57-CC-20221221141652

FACILITY NAME:	TISDALE, CLEOPATRA FAMILY CHILD CARE		FACILITY NUMBER:	153910947
ADMINISTRATOR:	TISDALE, CLEOPATRA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 564-8121
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93313
CAPACITY:	14	CENSUS: 3	DATE:	01/12/2023
		UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Cleopatra Tisdale - Licensee		TIME COMPLETED:	12:35 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee did not prevent children from being exposed to bleach solution

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 1/12/2023 , Licensing Program Analyst (LPA) Jessika Thompson arrived at the facility to conduct an unannounced complaint inspection and deliver findings. LPA met with Licensee Cleopatra Tisdale, who accompanied LPA during a tour of the facility.

During the course of this investigation, LPA interviewed staff and parents. Additionally, LPA inspected pertinent areas the facility. Although LPA found the facility to a potent cleaning aroma, LPA did not obtain proof that children in care were directly exposed to bleach solution. LPA interviewed the licensee who stated that she only uses bleach solution to disinfect areas of her home, once every evening, when children are not in care. Licensee stated she has no knowledge of children in her care being directly exposed to bleach solution. LPA spoke with some parents of children currently in care who stated they had no knowledge of their children being directly exposed to bleach while at the facility.

(This is an amended document)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Jessika Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2023

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-20221221141652

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: TISDALE, CLEOPATRA FAMILY CHILD CARE	FACILITY NUMBER: 153910947
	VISIT DATE: 01/12/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency was cited during today's visit.

An exit interview was conducted with Cleopatra Tisdale. The licensee was provided a copy of their appeal rights (LIC9058 12/15) and their signature on this form acknowledges receipt of this form.

A Notice of Site Visit Form was posted on parent's board and must remain posted for 30 days.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Jessika Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 3