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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 203908603
Report Date: 01/17/2023
Date Signed: 01/17/2023 04:45:01 PM

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
01/09/2023 and conducted by Evaluator Stephanie Vega-Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20230109100851
FACILITY NAME:VARGAS, MARIA FAMILY CHILD CAREFACILITY NUMBER:
203908603
ADMINISTRATOR:VARGAS, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 481-5134
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY:14CENSUS: 9DATE:
01/17/2023
UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:VARGAS, MARIATIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Provider left day care children with subsitute adult for an extended period of time.
INVESTIGATION FINDINGS:
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 On 01/17/2023, Licensing Program Analyst (LPA) Stephanie Vega-Gonzalez conducted an unannounced complaint inspection at facility to open and deliver findings for the above-mentioned allegation. LPA met with Licensee, Maria Vargas and Assistant Gabriela Bautista. Licensee accompanied LPA during tour of facility both inside and outside. LPA explained the allegation and took a census. LPA interviewed Licensee and Assistant. LPA obtained copies of LIC 9040 Child Care Facility Roster and sign in and out sheets.
On today’s date LPA interviewed Licensee and it was revealed that Licensee went on an out of the country vacation from December 19, 2022 to December 28, 2022 and allowed Assistant Gabriela Bautista to care for day care children alone. LPA was informed that Assistant cared for a total of ten children, two of them being infants, while Licensee was out of the country. It was revealed that allegation, Provider left day care children with substitute adult for an extended period of time, to be SUBSTANTIATED. Based upon observations, and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
(Continue on LIC-9099-C)
Substantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023
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 3
Control Number 04-CC-20230109100851
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: VARGAS, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 203908603
VISIT DATE: 01/17/2023
NARRATIVE
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Per California Code of Regulations, Title 22, Division 12, Chapter 3, this deficiency is being cited on the attached LIC 9099D).

An exit interview conducted with Licensee, Maria Vargas. A copy of this report and Appeal Rights were provided and discussed with Licensee, Maria Vargas
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: 01/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20230109100851
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: VARGAS, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 203908603
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2023
Section Cited
CCR
102417
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Operation of a Family Child Care Home (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home . . .
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Licensee stated that they will watch the following video, and write a statement on what they have learned. Licensee stated they will submit the statement to CCL by POC due date. Video title: Supervising Children in Family Child Caren and the link is as followed:
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This requirement was not met as evidenced by, Licensee stated that they left the country from December 19, 2022 to December 28, 2022 and allowed Assistant Gabriela Bautista to care for day care children alone. This poses a potential health/safety risk to children in care.
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https://ccld.childcarevideos.org/family-child-care-providers/supervising-children-in-family-child-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: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3