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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153911304
Report Date: 03/08/2022
Date Signed: 03/08/2022 11:43:21 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/01/2022 and conducted by Evaluator Caroline Harris
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220301163157
FACILITY NAME:ARGUELLO, ESBEYDY FAMILY CHILD CAREFACILITY NUMBER:
153911304
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
03/08/2022
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Esbeydy ArguelloTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility failed to meet reporting requirements
INVESTIGATION FINDINGS:
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On 3/8/22 Licensing Program Analyst (LPA) Caroline Harris conducted an unannounced complaint visit to open the above complaint allegation. LPA met with Licensee, Esbeydy Arguello and a census was taken. The purpose of today’s visit was to open the above complaint investigation. The investigation revealed the following:

Based upon information gathered and interviews conducted, the licensee admitted to having 9 different cases of Covid at her day care and deciding to close from 2/1/22 to 2/6/22 due to the outbreak. These positive Covid cases were not reported to CCL. A preponderance of the evidence standard has been met, therefore the above allegation is found to be substantiated.

California Code of Regulations, Title 22, Division 12, Chapter 3, are being cited on the attached LIC 9099D. An exit interview was conducted with licensee, Esbeydy Arguello. A copy of this report and appeal rights were provided to the licensee. 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: Alice Juarez
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2022
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 2
Control Number 04-CC-20220301163157
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: ARGUELLO, ESBEYDY FAMILY CHILD CARE
FACILITY NUMBER: 153911304
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/22/2022
Section Cited
CCR
102416.2(b)
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Reporting Requirements. The licensee shall report to the Department any of the events as specified in Health and Safety Code Section 1597.467(b)(1)(A)
through (b)(1)(C) that occur during the operation of the family child care home.
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The licensee agrees to watch the "Child Care Reporting Requirements" video on the CCL website and write a statement of what the requirements are and submit that statement along with an Unusual Incident Report to
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This requirement was not met as evidenced by the licensee admitting to not reporting 9 positive Covid cases to CCL and closing from 2/1/22 to 2/6/22. This is a possible risk to the health, safety or personal rights of children in care.
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the Fresno CCL office by the due date of 3/22/22.
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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: Alice Juarez
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2