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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 243909809
Report Date: 06/20/2024
Date Signed: 06/20/2024 10:24:41 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 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
05/02/2024 and conducted by Evaluator Yesenia Fierro
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20240502153005
FACILITY NAME:AYALA, MANUEL & DOMINICA FAMILY CHILD CAREFACILITY NUMBER:
243909809
ADMINISTRATOR:AYALA, MANUEL & DOMINICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 777-0865
CITY:MERCEDSTATE: CAZIP CODE:
95341
CAPACITY:14CENSUS: 3DATE:
06/20/2024
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Dominica jAyala TIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Licensee is not properly supervising children that resulted in children in care engaging in inappropriate interactions.
INVESTIGATION FINDINGS:
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On June 20,2024, Licensing Program Analyst (LPA) Yesenia Fierro conducted unannounced complaint inspection to address the allegation stated above. LPA met with Licensee’s Dominica Ayala and Manuel Ayala, toured the home, and took a census. The purpose of this inspection was to deliver the findings for the above allegation.

The investigation consisted of interviews, review of pertinent information, and licensee statements. It was alleged that licensee was not providing appropriate supervision that resulted in children engaging in inappropriate physical interactions. The interviews conducted by Community Care Licensing Investigation Branch and LPA Fierro revealed inconsistencies and it has been determined on the dates in question, that no daycare children were in care at the time of the alleged occurrence(s), therefore 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.

Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
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-20240502153005
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: AYALA, MANUEL & DOMINICA FAMILY CHILD CARE
FACILITY NUMBER: 243909809
VISIT DATE: 06/20/2024
NARRATIVE
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Per Title 22, Division 12, Chapter 3, no deficiencies are being cited. An exit interview with Licensee’s, Dominica Ayala and Manuel Ayala was conducted. Appeal rights were discussed and given to the licensees along with a notice of site visit. Notice of Site Visit is to be posted for 30 days.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2