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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543909951
Report Date: 10/22/2024
Date Signed: 10/22/2024 12:08:35 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH 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
09/12/2024 and conducted by Evaluator Denisia Jimenez
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20240912130548
FACILITY NAME:GONZALEZ, YVETTE FAMILY CHILD CAREFACILITY NUMBER:
543909951
ADMINISTRATOR:GONZALEZ, YVETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 967-4294
CITY:DINUBASTATE: CAZIP CODE:
93618
CAPACITY:14CENSUS: 2DATE:
10/22/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Yvette Gonzalez TIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Uncleared Adult has access to day care children in care.
INVESTIGATION FINDINGS:
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On 10/22/2024, Licensing Program Manager (LPM) Scott Herring and Licensing Program Analyst (LPA) Denisia Jimenez arrived at the facility to deliver investigation finding to the allegation. LPM and LPA met with Licensee, toured the facility, and took a census.
The investigation consisted of a review of records, copy of the children’s roster, interviews, and the review and analysis of additional pertinent information obtained during the investigation. Regarding the aforementioned allegation, it is determined that adult #1 is residing in the home without a fingerprint clearance. It is also determined, that on multiple occasions, the adult #1 was/is at the licensed facility during day care hours and when children are present.
Per Title 22 regulations 102370 Criminal Record clearance: all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Childcare Home.

(Continued on 9099-C)
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
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 3
Control Number 57-CC-20240912130548
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: GONZALEZ, YVETTE FAMILY CHILD CARE
FACILITY NUMBER: 543909951
VISIT DATE: 10/22/2024
NARRATIVE
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Based upon information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: (see next page).

Licensee was provided appeal rights.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Licensee Yvette Gonzalez.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 57-CC-20240912130548
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: GONZALEZ, YVETTE FAMILY CHILD CARE
FACILITY NUMBER: 543909951
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/22/2024
Section Cited
CCR
102370(d)
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Criminal Recod Clearance, All adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to.....
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During the complaint investigation, licensee agreed to have adult #1 fingerprinted and provided documents to CCLD. Licensee states that she will not permit adult #1 to be present in the home during days and hours of operation. A civil penalty of $500.00 is assessed. Deficiency is cleared during today's visit.
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This requirement was not evidenced based on determination through observations, interviews and documents that indicate adult #1 lives in the home and/or was present during days and hours of operation while children were in care. This is an immediate risk in the all aduts shall be fingerprint 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: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
LIC9099 (FAS) - (06/04)
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