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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 503808972
Report Date: 08/19/2024
Date Signed: 08/19/2024 01:35:51 PM

Substantiated


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
05/31/2024 and conducted by Evaluator Aurelio Mendoza
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20240531145932
FACILITY NAME:LITTLE LIGHTS PRESCHOOLFACILITY NUMBER:
503808972
ADMINISTRATOR:SMITH, SANDRAFACILITY TYPE:
850
ADDRESS:1660 ARBOR WAYTELEPHONE:
(209) 668-2548
CITY:TURLOCKSTATE: CAZIP CODE:
95380
CAPACITY:45CENSUS: DATE:
08/19/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sandra SmithTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff did not prevent a day care child from inappropriately touching another child
Facility was out of ratio
Staff did not notify day care children's parents of incidents
INVESTIGATION FINDINGS:
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On 08/19/2024, Licensing Program Analyst (LPA) Aurelio Mendoza conducted a complaint inspection and provided findings for the above allegations to Director Sandra Smith. During the investigation, LPA interviewed the reporting party (RP), witnesses, parents, staff, and reviewed records that included facility records.

Regarding the allegation that “Staff did not prevent a day care child from inappropriately touching another child,” interviews with the RP, witnesses, parents, staff, and records reviewed including facility records revealed multiple incidents occurred where at least three children C1, C2, and C3 on various dates had documented behaviors of inappropriate touching that were documented by staff; multiple records were found to support that inappropriate touching took place in multiple children's files and there was no hardcopy record found confirming that said behaviors were communicated to the parents of children involved in the inappropriate touching behaviors amongst the respective children.
(Continued on 9099-C)
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2024
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 7
Control Number 04-CC-20240531145932
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: LITTLE LIGHTS PRESCHOOL
FACILITY NUMBER: 503808972
VISIT DATE: 08/19/2024
NARRATIVE
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LPA found no record in children’s file with a signed incident report by a parent/legal guardian for at least two incidents referenced in an accident report dated 08/26/2022 and staff witness statement dated 11/02/2022 confirming that communication was provided to the respective children's parents to support that staff had a plan in place to prevent a day care child from inappropriately touching another child.

Based upon information derived from interviewing the reporting party (RP), witnesses, parents, staff, and records reviewed including facility records the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

Regarding the allegation that "Facility was out of ratio" observations, interview statements, and records reviewed that included facility records yielded that on at least on three dates to include 04/15/2024, 04/29/2024, and 05/13/2024 the facility exceeded ratios of one teacher visually observing and supervising 12 children; records obtained for the respective dates above displayed counts of 1:16, 1:13, and 1:17 teacher-child ratio. LPA staff interviews yielded statements outlining patterns that the facility was out of ratio on several occasions to at least capture the mentioned dates above.

Based upon information derived from interviewing the reporting party (RP), witnesses, parents, staff, and records reviewed including facility records the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

Regarding the allegation that "Staff did not notify day care children's parents of incidents" observations, interview statements, and records reviewed to include facility records yielded that the facility did not comply with ensuring that staff communicated information to parents/legal guardians regarding unusual incidents as evidenced by a missing incident report in a child's file, C4, documenting that on 05/14/2024 at approximately 10:00 am C4 was left unsupervised for approximately one to two minutes within the facility during a transitional period to a next routine activity. LPA found no record in the corresponding child's file acknowledging the event occurred and there were no documented efforts for transparency and accountability in the child's file. Interviews and records reviews corroborated that that the incident occurred and there was no incident report on file acknowledging staff notified the child's parents of the incident via having a signed copy of an incident report within C4's file.


SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 04-CC-20240531145932
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: LITTLE LIGHTS PRESCHOOL
FACILITY NUMBER: 503808972
VISIT DATE: 08/19/2024
NARRATIVE
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Based upon information derived from interviewing the reporting party (RP), witnesses, parents, staff, and records reviewed including facility records the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 04-CC-20240531145932
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: LITTLE LIGHTS PRESCHOOL
FACILITY NUMBER: 503808972
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/19/2024
Section Cited
CCR
101226.3(a)
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Observation of the Child; The behavior and health of the children shall be continually observed throughout the period of attendance. This requirement was not met as evidenced by:
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Licensee stated she shall submit an updated plan on how to ensure that children are continually observed and supervised throughout the day to prevent inappropriate interactions to CCL by 08/30/2024.
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Based on interviews and records reviewed, children’s behavior was not continually observed resulting in multiple incidents of inappropriate interactions between children. This poses a potential risk to the health, safety, or personal rights of children.
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Type B
08/19/2024
Section Cited
CCR
101216.3(a)(1)
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Teacher-Child Ratio- (a) 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. (1) The number of children in attendance shall not exceed licensed capacity.
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Director will submit a staff plan that has been put in place to ensure facility does not operate out of ratio and will submit to CCLD by the POC due date of 08/30/2024.
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This requirement was not met as evidenced by: LPA interviews confirmed and records reviewed that facility was classrooms were operating out of ratio.
This poses a potential risk to the health, safety, or personal rights of 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: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 04-CC-20240531145932
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: LITTLE LIGHTS PRESCHOOL
FACILITY NUMBER: 503808972
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/19/2024
Section Cited
CCR
101212(d)(1)(B)
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101212(d)(1)(B) Reporting Requirements(d)Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, 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. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event......
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Today 08/19/2024 LPA printed a copy of Title 22, Division 12
Chapter 1 Article 06. Continuing Requirements,101212, Reporting Requirements and reviewed said information with Director Sandra Smith. Plan to review LIC 624 and provide a plan to CCL by 08/30/2024.
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This requirement was not met as evidenced by: Based on that the facility did not report incident to CCL as stated in LIC809 within 24 hours of the occurrence. This poses a potential risk to the health, safety, or personal rights of children.
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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: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 7