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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543810135
Report Date: 05/12/2022
Date Signed: 05/12/2022 12:49:53 PM

Substantiated


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
03/22/2022 and conducted by Evaluator Theresa Marquez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220322170357
FACILITY NAME:RAGGEDY ANN & ANDYFACILITY NUMBER:
543810135
ADMINISTRATOR:NAVARRO, MARIA CFACILITY TYPE:
850
ADDRESS:2015 S ENCINA STTELEPHONE:
(559) 738-0111
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:25CENSUS: 18DATE:
05/12/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Maria NavarroTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff hit day-care child.

Staff yelled at day-care child.
INVESTIGATION FINDINGS:
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On 5/12/2022, Licensing Program Analyst (LPA) Theresa Marquez conducted a complaint inspection and met with Director Maria Navarro.

During the course of the investigation, LPA Marquez conducted interviews and record review. The investigation revealed that staff physically put her hand on a child's leg inappropriately and raised her voice/yelled at a child.

Based on interviews, the preponderance of evidence standard has been met, therefore, the above allegations are found to be substantiated. Per California Code of Regulations Title 22 Division 12 Chapter 1, the following deficiency is being cited today (See LIC9099-D).

An exit interview was conducted and this report was reviewed with Director Maria Navarro. A copy of Appeal Rights and the Notice of Site Visit was given and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
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 2
Control Number 04-CC-20220322170357
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: RAGGEDY ANN & ANDY
FACILITY NUMBER: 543810135
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/19/2022
Section Cited
CCR
101223(a)(3)
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PERSONAL RIGHTS-The licensee shall ensure that each child is accorded the following personal rights: 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.
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All staff are to review the Community Care Licensing (CCL) video CHILDREN'S PERSONAL RIGHTS IN CHILD CARE. Director is to submit a roster signed by all staff that they have reviewed the video.
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This requirement was not met as evidence of interviews. Staff physically placed her hand on child's leg inappropriately and raised her voice/yelled at day-care. This poses a potential risk to the health, safety or personal rights to children in care.
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Signed roster is to be submitted to the CCL office by May 19, 2022.
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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: Susie Fanning
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2