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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 503810177
Report Date: 11/25/2024
Date Signed: 11/25/2024 01:07:43 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
09/27/2024 and conducted by Evaluator Valerie Mireles
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20240927113027
FACILITY NAME:PATTI CAKES CHILDREN'S CENTERFACILITY NUMBER:
503810177
ADMINISTRATOR:LAWRENCE, MEREDITHFACILITY TYPE:
850
ADDRESS:830 E MINNESOTA AVETELEPHONE:
(209) 250-0944
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY:55CENSUS: 27DATE:
11/25/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Meredith LawrenceTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff handled day care child in rough manner
Licensee allowed uncleared staff to work in the facility
Licensee does not ensure staff’s immunization records are up to date
Staff do not provide supervision to day care children in the bathroom
Staff inappropriately disciplines day care children
INVESTIGATION FINDINGS:
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On 11/25/2024, Licensing Program Analyst (LPA) Valerie Mireles conducted a complaint inspection at the facility to deliver the findings of the above listed allegations. LPA met with Director Meredith Lawrence, toured the facility and took a census.

During the course of the investigation, LPA Mireles reviewed facility records, obtained documents pertinent to the investigation, observed classrooms, conducted interviews with staff, witnesses, parents, and children. This agency determined that the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Continued to LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
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-20240927113027
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: PATTI CAKES CHILDREN'S CENTER
FACILITY NUMBER: 503810177
VISIT DATE: 11/25/2024
NARRATIVE
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In regard to the allegations that “Licensee allowed uncleared staff to work at the facility,” and, “Licensee does not ensure staff’s immunization records are up to date,” Director Meredith Lawrence stated that she did not obtain the appropriate authorization for placement and immunization paperwork for all of the California State University, Stanislaus Child Development Program Internship students that were placed at her Child Care Center. Facility staff have their Criminal Record Clearance and immunization records on file.

Regarding the allegations, "staff handle day care child in a rough manner,” based on statements made during witness interviews, staff was observed grabbing and pulling children in care.

In regard to the allegations that, “staff inappropriately disciplines day care children,” and “staff do not provide supervision to day care children in the bathroom,” based on statements made during witness and child interviews, children are isolated on a bench during outdoor playtime for a significant amount of time as a form of discipline and children in classroom #5 regularly go into the attached bathroom without a teacher visually observing them.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, Type B deficiencies will be cited (see 9099-D). Exit interview conducted with the Director, Meredith Lawrence.

A copy of this report and Appeal Rights were provided and discussed. A Notice of Site Visit (LIC 9213) form will be posted on the facility's parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 04-CC-20240927113027
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: PATTI CAKES CHILDREN'S CENTER
FACILITY NUMBER: 503810177
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/25/2024
Section Cited
CCR
101170(b)(4)(B)
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Criminal Record Clearance(b) The following individuals are exempt from the requirement to submit fingerprints: (4) A student who is enrolled or participating at an accredited educational institution if all of the following apply:(B)The facility has an agreement with the educational institution concerning the placement of the student. This requirement was not met as evidence by:
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Students participating in the Child Development internship program have been reassigned for the semester. Should Director Meredith Lawrence continue with the California State University, Stanislaus Internship program, she will obtain appropriate documentation from the college.
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Director Meredith Lawrence stated that she did not obtain the appropriate authorization for placement paperwork for all of the California State University, Stanislaus Child Development Program Internship students that were placed at her Child Care Center.
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Deficiency cleared.
Type B
11/25/2024
Section Cited
HSC
1596.7995(a)(1)
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Employees or volunteers at day care center; immunization requirements; records; exemptions (a) (1) ... a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. This requirement was not met as evidence by:
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Students participating in the Child Development internship program have been reassigned for the semester. Should Director Meredith Lawrence continue with the California State University, Stanislaus Internship program, she will obtain and maintain immunization records on file.
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Director Meredith Lawrence stated that she did not obtain the appropriate immunization paperwork for all of the California State University, Stanislaus Child Development Program Internship students that were placed at her Child Care Center. Staff immunization records are on file.
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Deficiency cleared
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: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 04-CC-20240927113027
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: PATTI CAKES CHILDREN'S CENTER
FACILITY NUMBER: 503810177
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/27/2024
Section Cited
CCR
101223(a)(1)
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Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidence by:
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Director Meredith Lawrence will provide training/meeting regarding personal right, positive and consious discipline practices. Director will provide ongoing training to staff. Director will provide a copy of staff meeting agenda and sign-in sheet by POC due date of 12/27/2024.
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Based on statements made during witness interviews, witnesses observed staff grabbing and pulling children in care.
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Type B
12/27/2024
Section Cited
CCR
101223.2(a)
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Discipline (a)Any form of discipline or punishment that violates a child's personal rights as specified in Section 101223 shall not be permitted regardless of authorized representative consent or authorization. This requirement was not met as evidence by:
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Director Meredith Lawrence will provide training/meeting regarding personal right, positive and consious discipline practices. Director will provide ongoing training to staff. Director will provide a copy of staff meeting agenda and sign-in sheet by POC due date of 12/27/2024.
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Based on statements made during witness and child interviews, children are isolated on a bench during outdoor playtime for a significant amount of time as a form of discipline.
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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: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 04-CC-20240927113027
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: PATTI CAKES CHILDREN'S CENTER
FACILITY NUMBER: 503810177
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/27/2024
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision ... (1) No child(ren) shall be left without the supervision of a teacher at any time, ... Supervision shall include visual observation. This requirement was not met as evidence by:
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Director Meredith Lawrence will provide a training/meeting regarding Title 22 Care and Supervision Regulations. Director will provide ongoing training to staff. Director will provide a copy of staff meeting agenda and sign-in sheet by POC due date of 12/27/2024.
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Based on statements made during witness and child interviews, children in classroom #5 regularly go into the attached bathroom without a teacher in the room with them.
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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: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 7
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
09/27/2024 and conducted by Evaluator Valerie Mireles
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20240927113027

FACILITY NAME:PATTI CAKES CHILDREN'S CENTERFACILITY NUMBER:
503810177
ADMINISTRATOR:LAWRENCE, MEREDITHFACILITY TYPE:
850
ADDRESS:830 E MINNESOTA AVETELEPHONE:
(209) 250-0944
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY:55CENSUS: 27DATE:
11/25/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Meredith LawrenceTIME COMPLETED:
01:45 PM
ALLEGATION(S):
1
2
3
4
5
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9
Staff do not ensure classrooms maintain correct ratio
Staff yells at day care children
INVESTIGATION FINDINGS:
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3
4
5
6
7
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13
On 11/25/2024, Licensing Program Analyst (LPA) Valerie Mireles conducted a complaint inspection at the facility to deliver the findings of the above listed allegations. LPA met with Director Meredith Lawrence, toured the facility and took a census.

During the course of the investigation, LPA Mireles reviewed facility records, obtained documents pertinent to the investigation, observed classrooms, conducted interviews with staff, witnesses, parents, and children in care.

Based on LPA observation and due to inconsistent statements obtained, the information did not corroborate the allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore, the allegations are UNSUBSTANTIATED. Continued to LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 04-CC-20240927113027
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: PATTI CAKES CHILDREN'S CENTER
FACILITY NUMBER: 503810177
VISIT DATE: 11/25/2024
NARRATIVE
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Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency is cited during today’s visit. Exit interview conducted with the Director, Meredith Lawrence.

A copy of this report and Appeal Rights were provided and discussed. A Notice of Site Visit (LIC 9213) form will be posted on the facility's parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 7