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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 163806613
Report Date: 06/18/2024
Date Signed: 06/18/2024 11:12:22 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
06/04/2024 and conducted by Evaluator Behatriz Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20240604173422
FACILITY NAME:BOTELLO, LETICIA FAMILY CHILD CAREFACILITY NUMBER:
163806613
ADMINISTRATOR:BOTELLO, LETICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 904-5052
CITY:KETTLEMAN CITYSTATE: CAZIP CODE:
93239
CAPACITY:14CENSUS: 4DATE:
06/18/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Leticia BotelloTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Pool does not meet regulations.
INVESTIGATION FINDINGS:
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On 06/18/2024, Licensing Program Analysts (LPA's) Claribel Soto and Behatriz Gonzalez conducted an unannounced complaint inspection at the facility and met with Licensee Leticia Botello and her assistant was also present. The purpose of this inspection was to investigate and deliver the finding for the above complaint allegation. LPA's toured the facility and took a census.

During the course of the investigation, LPA's Soto and Gonzalez conducted interviews with licensee.Based on observation and informationed obtained during the investigation, the above ground pool did not meet regulation requirements. This agency investigated the complaint and has determined that the complaint allegation was SUBSTANTIATED, meaning the preponderance of evidence standard has been met.
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Behatriz Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
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-20240604173422
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: BOTELLO, LETICIA FAMILY CHILD CARE
FACILITY NUMBER: 163806613
VISIT DATE: 06/18/2024
NARRATIVE
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Per California Code of Regulation, Title 22, Division 12, Chapter 3, deficiency was cited (see LIC 9099-D).
An exit interview was conducted with Licensee. Licensee was provided a copy of their appeal rights.

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: Behatriz Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 57-CC-20240604173422
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: BOTELLO, LETICIA FAMILY CHILD CARE
FACILITY NUMBER: 163806613
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/19/2024
Section Cited
CCR
102417(g)(5)
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102417(g)(5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence.
This requirement is not met as evidence by:
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Licensee stated they will empty the above ground pool within 24 hours and will submit photo documentation via email or text by the end of the day on 06/19/2024.
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Based on observation, interview and informationed obtained during the investigation, the above ground pool did not meet regulation requirements, which poses an immediate risk to the Health, Safety and Personal Rights of children in care.
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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: Susie Fanning
LICENSING EVALUATOR NAME: Behatriz Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
LIC9099 (FAS) - (06/04)
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