<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 203801809
Report Date: 05/24/2023
Date Signed: 05/24/2023 04:53:41 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-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
05/18/2023 and conducted by Evaluator Stephanie Vega-Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20230518170525
FACILITY NAME:MADERA CHILD DEVELOPMENT CENTER*FACILITY NUMBER:
203801809
ADMINISTRATOR:GARCIA, RACHELFACILITY TYPE:
850
ADDRESS:1205 SONORA STREETTELEPHONE:
(559) 674-1972
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY:84CENSUS: 60DATE:
05/24/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Veronica Hurtado de O'Donvan TIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility bathroom is in disrepair.
Facility did not maintain a comfortable temperature for children in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/24/2023, Licensing Program Analyst (LPA) Stephanie Vega-Gonzalez conducted an unannounced complaint inspection at facility to deliver findings for the above-mentioned allegations. LPA met with Supervisor, Veronica Hurtado de O’Donovan who accompanied LPA during tour of facility both inside and outside. LPA explained the allegations and took a census. LPA interviewed staff, supervisor, and reviewed facility records.

On today’s date LPA observed two outdoor children’s restroom in disrepair. LPA observed outdoor restroom 1 (RR1) located near Classroom 3 that contains 3 toilets and 3 sinks. RR1 had a leaky sink that had a green plastic bucket that was half filled with water, under the sink. LPA reviewed bodies of water regulations with supervisor, and bucket was emptied in sink. LPA observed that children were being supervised while children used restrooms. In addition, LPA observed in RR1 that middle stall’s toilet had a broken toilet seat. LPA observed in children’s restroom 2 (RR2) near Classroom 2 that contains 2 toilets and 2 urinals had heavy water leakage on tile floor. LPA observed a large puddle under two urinals. LPA observed that urinal flush
(Continue on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
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 4
Control Number 04-CC-20230518170525
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: MADERA CHILD DEVELOPMENT CENTER*
FACILITY NUMBER: 203801809
VISIT DATE: 05/24/2023
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
handle was leaking water from the left urinal. LPA observed as supervisor turned off water from urinals, making them inoperable. LPA also observed in RR2 broken toilet paper dispenser. LPA observed as staff held children’s hand as they walked in and out of RR2. LPA observed that outdoor sink located by Classroom 2 and Classroom 1 had water leakage and that faucet was wrapped in white tape. LPA reviewed Building and Grounds regulations with Licensee. In addition, LPA observed the following in the playground: wooden ramp with exposed wood chipping and back side of ramp that is open and accessible to children in care. LPA also observed three storage units that had a back pathway that is accessible to children in care, in pathway LPA observed: various metal bars large and small, large wooden spikes. LPA also observed that gate door near the trash cans and lawn mowers has no appropriate locking mechanism, which makes area accessible to children in care, and the same goes for the side gate by the shared building. LPA observed inside Classroom 4 various ceiling panels that have water damage. LPA reviewed findings with supervisor. Based upon observations, and information gathered through observations, the preponderance of evidence standard has been met, therefore the allegation, Facility bathroom is in disrepair, found to be SUBSTANTIATED.

Investigation revealed through evidence obtained through documentation and interviews that air conditioning unit (AC) in Classroom 2 was not operable on May 17th, 18th, and 19th of 2023. The supervisor provided LPA with copies of work orders and attempted repairs and was informed via interview that children had to be moved to other classrooms due to AC not working and needing repair. Based upon documentation obtained and interviews, the preponderance of evidence standard has been met, therefore the above allegation, Facility did not maintain a comfortable temperature for children in care is found to be SUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 1 these deficiencies are being cited on the attached LIC 9099D).

An exit interview conducted with Supervisor, Veronica Hurtado de O’Donovan. A copy of this report and Appeal Rights were provided and discussed with Supervisor, Veronica Hurtado de O’Donovan.
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: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 04-CC-20230518170525
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: MADERA CHILD DEVELOPMENT CENTER*
FACILITY NUMBER: 203801809
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/02/2023
Section Cited
CCR
101238(a)
1
2
3
4
5
6
7
101238 Buildings and Grounds (a)The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by, LPA observed that both outdoor children's restroom were in disrepair
1
2
3
4
5
6
7
Supervisor stated that both restrooms, sinks, ramp, gates, ceiling tiles with water damage will be repaired. Supervisor stated that they will provide proof to CCL by POC due date.
8
9
10
11
12
13
14
as stated and described in LIC9099 and LIC9099-C. In addition, various other observations were noted and stated in LIC9099 and LIC9099-C. This poses an potential health/risk to children in care
8
9
10
11
12
13
14
Type B
06/02/2023
Section Cited
CCR
101239(a)
1
2
3
4
5
6
7
101239(a) Fixtures, Furniture, Equipment and Supplies (a) A comfortable temperature for children shall be maintained at all times. This requirement was not met as evidenced by, documentation obtained, staff and supervisor interviews that stated air coodintionar was not operable in
1
2
3
4
5
6
7
Supervisor stated that they will provide CCL with proof of repairs and work orders by POC due date.
8
9
10
11
12
13
14
classroom 2 and children had to be moved as stated in LIC9099 and LIC9099-C.
This poses an potential health/risk to children in care
8
9
10
11
12
13
14
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: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4