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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 243808724
Report Date: 12/22/2021
Date Signed: 12/22/2021 11:35:36 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
10/13/2021 and conducted by Evaluator Joseph Pacheco
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20211013085758
FACILITY NAME:BUHACH PRESCHOOLFACILITY NUMBER:
243808724
ADMINISTRATOR:GAMA, JUANFACILITY TYPE:
850
ADDRESS:2606 N. BUHACH ROADTELEPHONE:
(209) 489-2008
CITY:ATWATERSTATE: CAZIP CODE:
95301
CAPACITY:89CENSUS: DATE:
12/22/2021
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Roberta Heredia - AdministratorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility is operating out of ratio.
Facility has a lice outbreak.
Facility has rodents.
INVESTIGATION FINDINGS:
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On 12/22/21, Licensing Program Analyst (LPA) Joseph Pacheco conducted an unannounced complaint inspection. LPA met with Administrator, Roberta Heredia. Director, Juan Gama was available by phone. The purpose of the inspection was to deliver the findings for the above complaint allegations.

During the course of the investigation, LPA interviewed Complainant, Director, and staff. Based on the information obtained during the investigation, there is a preponderance of the evidence to prove facility has a lice outbreak, facility has rodents and facility is operating out of ratio; therefore, the allegation is substantiated.

Per California Code of Regulations, Title 22, Division 12, Chapter 1 the following deficiency is found (See LIC9099-D): Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of LIC 9224 was given to Director.
LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021
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-20211013085758
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: BUHACH PRESCHOOL
FACILITY NUMBER: 243808724
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/05/2022
Section Cited
CCR
101212(d)(1)(E)
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Reporting requirements. Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1)…a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. (1) Events reported shall include the following: (E)
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Administrator stated they will review Reporting Requirements (CCR, section 101212) with all staff to ensure understanding of what is required to be reported to Community Care Licensing. Administrator will keep a log of signatures and dates of all staff who have reviewed Reporting Requirements and submit
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Epidemic outbreaks. This requirement was not met as evidenced by information obtained during investigation there was a lice outbreak at the facility that involved two or more children that was not reported to Community Care Licensing. This is a potential risk to the health, safety or personal rights of children in care.
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complete log to Community Care Licensing by POC due date.
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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: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 04-CC-20211013085758
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: BUHACH PRESCHOOL
FACILITY NUMBER: 243808724
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/23/2021
Section Cited
CCR
101223(a)(2)
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Personal rights. (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by information obtained during the
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Administrator stated facility will submit a written plan to Community Care Licensing outlining how this problem will be addressed and prevented from happening in the future. POC to be submitted by 12/23/21.
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investigation and LPA observation of mice droppings in the facility. This is an immediate risk to the health, safety or personal rights of children in care.
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Type A
12/23/2021
Section Cited
CCR
101216.3(a)
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Teacher Child Ratio. There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement was not met as evidenced by: LPA interviews with witnesses whom indicate the classrooms are often out of ratio and
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Administrator stated facility will submit a written plan to Community Care LIcensing outlining how facility will comply with Title 22 regulations on Teacher Child ratio and prevent this from happeing in the future. Plan to be submitted by POC due date of 12/23/21.
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and information obtained during the investigation. This poses an immediate risk to the health and safety of children in care. Because this is a repeat violation within a 12 month period a civil penalty is being issued.
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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: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4
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
10/13/2021 and conducted by Evaluator Joseph Pacheco
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20211013085758

FACILITY NAME:BUHACH PRESCHOOLFACILITY NUMBER:
243808724
ADMINISTRATOR:GAMA, JUANFACILITY TYPE:
850
ADDRESS:2606 N. BUHACH ROADTELEPHONE:
(209) 489-2008
CITY:ATWATERSTATE: CAZIP CODE:
95301
CAPACITY:89CENSUS: 61DATE:
12/22/2021
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Roberta Heredia - AdministratorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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9
Staff did not safeguard day care children's personal records.
INVESTIGATION FINDINGS:
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On 12/22/21, Licensing Program Analyst (LPA) Joseph Pacheco conducted an unannounced complaint inspection. LPA met with Administrator, Roberta Heredia. Director, Juan Gama was available by phone. The purpose of the inspection was to deliver the findings for the above complaint allegation.

During the course of the investigation, LPA interviewed Complainant, Director and Staff. This agency has investigated the complaint alleging staff did not safeguard day care children’s personal records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency cited.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4