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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394500592
Report Date: 10/26/2022
Date Signed: 10/26/2022 12:53:22 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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/20/2022 and conducted by Evaluator Elvira Sierra
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20221020134920
FACILITY NAME:WARD, HANNAFACILITY NUMBER:
394500592
ADMINISTRATOR:WARD, HANNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 210-8420
CITY:LOCKEFORDSTATE: CAZIP CODE:
95237
CAPACITY:14CENSUS: 0DATE:
10/26/2022
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Hanna WardTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Unlicensed care is being provided
INVESTIGATION FINDINGS:
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On October 26, 2022, Licensing Program Analysts (LPA) Elvira Sierra and Licensing Program Manager (LPM) Bettina Engelman met with Ms. Hanna Ward for the purpose of a complaint inspection. There was an allegation of unlicensed care at the facility. Licensee own children were present during today's visit. Licensee stated that she only caring for her relatives and her own children plus one family that is not related.

During the investigation, LPA Erwin TJhia conducted interviews with families of current and former daycare children. LPA learned that Ms. Ward has been providing care at this facility after relocating from her licensed facility #393621938. According to interviews conducted, on 7/13/2022, Ms. Ward cared for children from at least 2 different families who are not related to her. Based on LPA nterviews, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED.
Type A violation is cited on attached LIC9099-D. Exit interviewed conducted. This report and Appeal of Rights were reviewed and provided to Ms. Ward.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
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 53-CC-20221020134920
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: WARD, HANNA
FACILITY NUMBER: 394500592
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/27/2022
Section Cited
HSC
1596.80
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ยง1596.80 Child day care facilities, licenses. No person, firm, partner. hip, association, or corporation shall operate, establish, manage, conduct, or maintain a child day care facility in this state without a current valid license, therefor as provided in this act. This requirement was not met as evidenced by:
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Ms. Ward already submitted an FCCH application for a change of location and Ms. ward stated that she will only be providing care for family members and children of one family until she is approved for a license.

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Based on interviews conducted LPA Tjhia learned that on 7/13/2022, Ms. Ward cared for children from at least 2 different families who are not related to her.
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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: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2