540403661-4-20-2023-57-CC-DMAA-CR4QKZ-20230421121511

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 540403661
Report Date: 03/30/2023
Date Signed: 04/20/2023 12:13:47 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 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
02/03/2023 and conducted by Evaluator Nancy Her

PUBLIC

COMPLAINT CONTROL NUMBER: 57-CC-20230203140235

FACILITY NAME:	FIRST BAPTIST PRESCHOOL		FACILITY NUMBER:	540403661
ADMINISTRATOR:	STOCKTON, ELISA		FACILITY TYPE:	850
ADDRESS:	81 N G ST		TELEPHONE:	(559) 784-6688
CITY:	PORTERVILLE	STATE: CA	ZIP CODE:	93257
CAPACITY:	44	CENSUS: 30	DATE:	03/30/2023
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Virginia Tucker		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Facility has pests

INVESTIGATION FINDINGS:

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On 03/30/2023 Licensing Program Analysts (LPAs) Nancy Her and Martha De Haro conducted an unannounced complaint investigation to deliver the findings regarding the above allegation. LPAs met with Director Virgina Tucker who accompanied LPAs during tour of the facility. LPAs explained the allegations and a census taken. During the course of the investigation, LPAs interviewed staff members, reviewed facility records, and inspected the facility's physical environment.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore the allegation is UNSUBSTANTIATED.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.
Exit interview conducted and report was reviewed with the facility representative Virgina Tucker.
A Notice of Site Visit was given and must remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023

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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