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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543901979
Report Date: 03/18/2022
Date Signed: 03/22/2022 11:44:54 AM

Unsubstantiated


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
01/12/2022 and conducted by Evaluator Theresa Marquez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220112162314
FACILITY NAME:MCWILLIAMS, MIRNA FAMILY CHILD CAREFACILITY NUMBER:
543901979
ADMINISTRATOR:MCWILLIAMS, MIRNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 622-9570
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:14CENSUS: 11DATE:
03/18/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Mirna McWilliamsTIME COMPLETED:
11:45 PM
ALLEGATION(S):
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Licensee hit child in care.

Adult in the facility yells at children in care.

INVESTIGATION FINDINGS:
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On 3/18/2022, Licensing Program Analyst (LPA) Theresa Marquez conducted a complaint inspection and met with licensee, Mirna McWilliams. Assistant Daniela Ramirez was also present. The purpose of this inspection is to provide complaint findings regarding the above allegations.
During the course of the investigation, LPA conducted interviews with licensee, parents and day-care children. Interviews revealed there was insufficient information to prove that licensee patting children's head or yelling at children resulted in a Personal Rights violation.
Although the allegations may have happened or are valid, there is not a preponderance of the evidence that violations occurred; therefore, the allegations that licensee hit a child and an adult in the facility yells at children are unsubstantiated.
Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiencies were cited on this report. An exit interview was conducted with Mirna McWilliams.
The Appeal Rights and A Notice of Site Visit was provided to McWilliams.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022
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 4
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
01/12/2022 and conducted by Evaluator Theresa Marquez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220112162314

FACILITY NAME:MCWILLIAMS, MIRNA FAMILY CHILD CAREFACILITY NUMBER:
543901979
ADMINISTRATOR:MCWILLIAMS, MIRNAFACILITY TYPE:
810
ADDRESS:3049 S. OAK PARK STREETTELEPHONE:
(559) 622-9570
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:14CENSUS: 11DATE:
03/18/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Mirna McWilliamsTIME COMPLETED:
11:45 PM
ALLEGATION(S):
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9
Uncleared adult present in the facility.

Facility is unsanitary.
INVESTIGATION FINDINGS:
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On 3/18/2022, Licensing Program Analyst (LPA) Theresa Marquez conducted a complaint inspection and met with licensee, Mirna McWilliams. Assistant Daniela Ramirez was also present. The purpose of this inspection is to provide complaint findings regarding the above allegations.
During the course of the investigation, LPA conducted interviews with licensee, parents and day-care children. The investigation revealed that day care children were familiar with, and named an uncleared adult who has been present in the facility while the children were in care.
LPA inspected the backyard of the home on 1/19/2022, 3/14/2022, and on 3/18/2022, and observed pet feces about the yard from licensee's 3 dogs.
Based on the information obtained during the investigation, there is a preponderance of the evidence to prove an uncleared adult has been present in the facility and the facility is unsanitary, therefore, the allegations are substantiated. An exit interview was conducted with Mirna McWilliams. The Appeal Rights and A Notice of Site Visit was provided to McWilliams.
Per California Code of Regulation Title 22, Division 12, Chapter 1, the following deficiencies were cited. Continued on LIC9099-D
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Citations on this Visit Report are Under Appeal!

Control Number 04-CC-20220112162314
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: MCWILLIAMS, MIRNA FAMILY CHILD CARE
FACILITY NUMBER: 543901979
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
03/25/2022
Section Cited
CCR
102417(b)
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OPERATION OF A FAMILY CHILD CARE HOME- The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement was not met as evidenced by LPA observation.
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Licensee agreed to move her 3 dogs to the gated swimming pool area during day care operating hours and ensure she removes all feces, if any, in and around the play area surrounding the gated swimming pool.
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On 1/19/2022, 3/14/2022 and 3/18/2022, LPA Marquez observed several small piles of dog feces present about the backyard area from licensee's 3 dogs. This poses a potential risk to the health and safety or personal rights of children in care.
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During this inspection, licensee picked up all feces present in the backyard before children were let outside today.

DEFICIENCY CLEARED
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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: 03/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 04-CC-20220112162314
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: MCWILLIAMS, MIRNA FAMILY CHILD CARE
FACILITY NUMBER: 543901979
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/19/2022
Section Cited
CCR
10370(d)(1)
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CRIMINAL RECORD CLEARANCE -All individuals subject to a criminal record review pursuant to H&S Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or
This requirement is not met as evidenced by:
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On 2/4/2022 the uncleared adult was processed by LIVE SCAN for DOJ, FBI and Cachi CA fingerprint clearance. Licensee agrees that the uncleared adult will not be present at the day care home during operating hours
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Based on interviews it was revealed that day care children were familiar with, and named an adult who has been present in the facility, while children were in care, and is not fingerprint cleared. This poses an immediate health, safety or personal rights risk to persons in care. A civil penalty was assessed.
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and while children are present, until their fingerprints are approved by CCL.

DEFICIENCY CLEARED
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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: 03/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4