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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 243808514
Report Date: 08/31/2022
Date Signed: 08/31/2022 12:11:24 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
08/03/2022 and conducted by Evaluator Priscilla Zamudio
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220803094747
FACILITY NAME:UC MERCED EARLY CHILDHOOD E.C.FACILITY NUMBER:
243808514
ADMINISTRATOR:WAITE, DANIELLEFACILITY TYPE:
850
ADDRESS:5200 N. LAKE ROADTELEPHONE:
(209) 228-5437
CITY:MERCEDSTATE: CAZIP CODE:
95343
CAPACITY:59CENSUS: 23DATE:
08/31/2022
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Danielle WaiteTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff wrote on day care child’s skin with a marker
INVESTIGATION FINDINGS:
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On 08/31/2022, Licensing Program Analyst (LPA) Priscilla Zamudio conducted an unannounced follow-up complaint visit to provide finding to the above allegation. LPA met with Director Danielle Waite, discussed the finding, toured the facility and took a census.

During the course of the investigation, LPA conducted interviews and reviewed facility records. Based upon observations, and information gathered, the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is being cited on the attached LIC 9099-D.

An exit interview conducted with Licensee Danielle Waite. A copy of this report and Appeal Rights were provided and discussed with Ms. Waite.

A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022
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-20220803094747
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: UC MERCED EARLY CHILDHOOD E.C.
FACILITY NUMBER: 243808514
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/31/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/31/2022
Section Cited
CCR
101223(a)(1)
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Personal Rights
(a)The licensee shall ensure that each child is accorded the following personal rights: (1)To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
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Director stated they will develop a procedure for communication with a parent about marking unknown rashes/bug bites and a staff meeting will be conducted to review the procedure and willl submit copies of the procedure and sign in sheet of the meeting to the Department by POC date 09/16/2022.
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Based on interviews and records review a staff used a pen to mark on a child’s face and did not inform the parents. This is a potential risk of personal rights, health and safety to children in 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: Diana deLeon
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2