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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 203906160
Report Date: 07/25/2022
Date Signed: 07/28/2022 11:28:36 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
07/15/2022 and conducted by Evaluator Stephanie Vega-Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220715161250
FACILITY NAME:GARCIA, MANUELA FAMILY CHILD CAREFACILITY NUMBER:
203906160
ADMINISTRATOR:GARCIA, MANUELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 871-8191
CITY:CHOWCHILLASTATE: CAZIP CODE:
93610
CAPACITY:14CENSUS: DATE:
07/25/2022
UNANNOUNCEDTIME BEGAN:
12:16 PM
MET WITH:Manuela GarciaTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Licensee administered a Covid test to an infant without parent consent
INVESTIGATION FINDINGS:
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On 07/25/2022, Licensing Program Analyst (LPA) Stephanie Vega-Gonzalez conducted an unannounced inspection to initiate and close a complaint investigation at facility. LPA met with Licensee Manuela Garcia, explained purpose of inspection, toured facility and took a census of 11 children which includes 2 infants, and no assistant.
LPA observed and inspected hallway, living room, dinning room, family room, and kitchen. LPA interviewed Licensee Garcia Manuela and LPA obtained copies of facility contract records. Licensee stated that she did administered COVID-19 test on enrolled day care children on 7/15/2022 without parents’ consent.
Based on today’s interviews, documents reviewed it has revealed that the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.
Per California Code of Regulations, Title 22, Division 12, Chapter 3, the following deficiency is being cited on the attached LIC 9099-D. Licensee is required to provide copies of this licensing report and 9099D with Type A citation to parents/legal guardians of children in care and to parents/legal guardians of children newly enrolled at the facility for 12 months from the date of issuance of any Type A citations. She is further reminded that she is to keep verification of receipt (LIC9224) in each child's file at the facility.
An exit interview conducted with Licensee Garcia Manuela. A copy of this report and appeal rights were provided to Licensee Garcia Manuela.
This is an amended report that supersedes the Complaint Investigation Report issued on 07/25/2022.
Substantiated
Estimated Days of Completion: 10
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
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-20220715161250
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: GARCIA, MANUELA FAMILY CHILD CARE
FACILITY NUMBER: 203906160
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/25/2022
Section Cited
CCR
102423(a)(1)
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Upon the occurrence, during the operation of the family child care homer of any of the events specified in Personal Rights: (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
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Licensee stated that they will host a training for themselves, which will include the viewing of the childcare licensing video titled - Children's personal rights in child care. Licensee will submit a statement regarding what they have learned to community care licensing by no later than 07/26/2022.
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(1) To be treated with dignity in his/her personal relationship with staff and other persons.
Based on today’s interviews, documents reviewed it has revealed that Licensee administered a covid test to children without the consent of parent’s. This poses an immediate potential risk to the health, safety, or personal rights of children.
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CCR
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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: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2