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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 163911003
Report Date: 05/15/2023
Date Signed: 05/15/2023 03:51:40 PM

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
04/13/2023 and conducted by Evaluator Kari McWilliams
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20230413115600
FACILITY NAME:PERALES, MONICA FAMILY CHILD CAREFACILITY NUMBER:
163911003
ADMINISTRATOR:PERALES, MONICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 803-4691
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:14CENSUS: 5DATE:
05/15/2023
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Monica PeralesTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
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9
Daycare children sustained multiple injuries while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
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9
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11
12
13
On March 15, 2023 Licensing Program Analyst (LPA) Kari McWilliams arrived at the facility to conduct an unannounced complaint investigation. The purpose of this inspection was to deliver findings regarding the above listed allegation; daycare children sustained mulitple injuries while in care. LPA McWilliams met with Licensee Monica Perales. LPA toured the facility and a census was taken.

During the investiation LPA McWilliams completed thorough interviews with past and current parents, obtained picutres and text message conversations.

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.
Exit interview conducted with Licensee Monica Perales. Notice of Site Visit Form to be posted to parent's board and must remain posted for 30 days. Appeal rights were provided to Licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Kari McWilliamsTELEPHONE: (559) 341-4724
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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