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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 503808355
Report Date: 08/20/2021
Date Signed: 08/20/2021 10:55:39 AM

Unsubstantiated


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
06/08/2021 and conducted by Evaluator Kari McWilliams
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20210608113339
FACILITY NAME:ABUNDANT LIFE CHILD CAREFACILITY NUMBER:
503808355
ADMINISTRATOR:ALLARD, TAMMY MAEFACILITY TYPE:
850
ADDRESS:3120 SNYDER AVENUETELEPHONE:
(209) 545-0787
CITY:MODESTOSTATE: CAZIP CODE:
95356
CAPACITY:36CENSUS: 0DATE:
08/20/2021
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Stephen AllardTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is operating out of ratio.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/20/21, Licensing Program Analyst (LPA) Kari McWilliams conducted an unannounced inspection to provide findings for the above allegation. LPA met with Board Chairman/ President Stephen Allard. The facility is currently on inactive status and not providing care to children.

During the course of the investigation, LPA reviewed records and interviewed staff. Based on the investigation conducted, it is unable to be determined if the facility was operating out of ratio while children were in care. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is UNSUBSTANTIATED.

Exit interview conducted with Board Chairman/ President Allard. No deficiency cited. Notice of Site Visit to be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Kari McWilliams
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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