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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 503810176
Report Date: 03/05/2026
Date Signed: 03/05/2026 02:04:27 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
02/25/2026 and conducted by Evaluator Erica Pacheco
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20260225143946
FACILITY NAME:DAVIS PARK CHRISTIAN ACADEMY INCFACILITY NUMBER:
503810176
ADMINISTRATOR:ELLIS, ANGELAFACILITY TYPE:
850
ADDRESS:901 W RUMBLE RDTELEPHONE:
(209) 642-0597
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY:60CENSUS: 9DATE:
03/05/2026
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Angela MadridTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff handled child in an inappropriate manner
Staff did not notify authorized parent and or representative of incident in a timely manner
INVESTIGATION FINDINGS:
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On 03/05/2026, Licensing Program Analyst (LPA) Erica Pacheco conducted an unannounced complaint inspection regarding the above allegations. LPA met with Director Angela Madrid, toured the facility and a census was taken. LPA explained and discussed the allegations with Director.

During today’s complaint investigation, LPA interviewed Director and staff #1, and also reviewed and obtained facility records. During LPA’s case management visit on 02/18/2026, LPA reviewed video footage of an incident. Based on new information gathered today, it was determined that the staff #1 displayed inappropriate behavior with child #1 by placing the child on a bench with unwarranted force out of frustration. There were no injuries to the child reported. Furthermore, the facility did not notify the parent of the incident until the following day.The facility had ample time to notify the parent at parent pick up on the day of the incident or when the child was dropped off at the facility the following morning.

(continued on 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Erica Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
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 3
Control Number 04-CC-20260225143946
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: DAVIS PARK CHRISTIAN ACADEMY INC
FACILITY NUMBER: 503810176
VISIT DATE: 03/05/2026
NARRATIVE
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Based on LPA's observations and interviews, the preponderance of the evidence standard has been met; therefore, the above allegations is found to be SUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is cited on the attached LIC 9099D.

An exit interview conducted with Director Angela Madrid. A copy of this report and Appeal Rights were provided and discussed with Director.

A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Erica Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20260225143946
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: DAVIS PARK CHRISTIAN ACADEMY INC
FACILITY NUMBER: 503810176
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/03/2026
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights
(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature ...
This requirement is not met as evidenced by:
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Director will train all staff on working with challening behaviors in children. Director will provide LPA with training material and a sign-in sheet of staff who attending the training. Director is also accepting a Techincal Support Program referral to assist with training staff.
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Based on interviews and video footage, staff #1 was violating Child #1's personal rights by using unwarranted force out of frustration to place the child on the bench.
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Director will provide documents to LPA by the plan of correction due date.
Type B
04/03/2026
Section Cited
CCR
101212(f)
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101212 Reporting Requirements:
(f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.

This requirement is not met as evidenced by:
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Director will write a statement stating how she will ensure that parents or authorized representatives are informed of any unusual incidents that occur involving their child immediately and within a timely manner. Director will provide this to LPA by due date.
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Based on interviews, the facility failed to notify the parent in a timely manner.
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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: Kari McWilliams
LICENSING EVALUATOR NAME: Erica Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3