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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 203801367
Report Date: 06/12/2025
Date Signed: 06/12/2025 11:43:48 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO 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
05/09/2025 and conducted by Evaluator Julio Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20250509144857
FACILITY NAME:PIXIE LANDFACILITY NUMBER:
203801367
ADMINISTRATOR:JENKINS, TINAFACILITY TYPE:
850
ADDRESS:3290 SUNSETTELEPHONE:
(559) 673-2223
CITY:MADERASTATE: CAZIP CODE:
93637
CAPACITY:50CENSUS: 14DATE:
06/12/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Marcela EsparzaTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Staff handled child in a rough manner.
INVESTIGATION FINDINGS:
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On 06/12/2025, Licensing Program Analyst (LPA's) Julio Rodriguez and Meche Rosales conducted an unannounced complaint inspection and met with Director Marcela Esparza. LPA's explained the purpose of the today’s inspection was to provide findings for the above allegation.

During the course of the investigation, LPA Rodriguez interviewed the reporting party, staff, parents, conducted facility observations, and reviewed and obtained facility records. This allegation was previously investigated due to the incident being self-reported. A citation for a personal rights deficiency was issued on 05/02/2025. LPA determined there was no indication of any additional incidents involving staff handling a child in a rough manner.

During interviews conducted on 05/02/2025, it was determined that a staff member inappropriately handled a child by lifting the child by the wrist while the child was upset and resisting. Continued on 9099-C.



Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Julio Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2025
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-20250509144857
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: PIXIE LAND
FACILITY NUMBER: 203801367
VISIT DATE: 06/12/2025
NARRATIVE
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Although the facility followed appropriate reporting requirements and took appropriate measures to address the incident, it was determined that the staff’s action violated the child’s personal rights which posed an immediate risk to the health, safety, or personal rights of children in care. Based on the information gathered from the interviews, the preponderance of evidence standard was met, and the allegation that staff handled a child in a rough manner is SUBSTANTIATED. No additional citation(s) will be issued during today’s inspection.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, a Type A deficiency was cited during the case management conducted on 05/02/2025. A plan of correction has since been completed.

An exit interview was conducted with Director Marcela Esparza. A copy of this report and Appeal Rights were provided and discussed with Director Marcela Esparza. A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Julio Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2