503808990-5-25-2023-04-CC-CBRN-CS7TF4-20230526144052

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 503808990
Report Date: 05/25/2023
Date Signed: 05/25/2023 12:28:20 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-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
04/06/2023 and conducted by Evaluator Julie Baptista

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20230406145244

FACILITY NAME:	HAZEL'S CHRISTIAN PRESCHOOL&CHILD CARE CENTER II		FACILITY NUMBER:	503808990
ADMINISTRATOR:	DOMSON, HAZEL		FACILITY TYPE:	830
ADDRESS:	1528 OAKDALE RD		TELEPHONE:	(209) 521-4422
CITY:	MODESTO	STATE: CA	ZIP CODE:	95355
CAPACITY:	16	CENSUS: 14	DATE:	05/25/2023
		UNANNOUNCED	TIME BEGAN:	11:43 AM
MET WITH:	Brenda Sanchez		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Allegation 2. Facility provides an unsafe environment for day care children.

INVESTIGATION FINDINGS:

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On 05/25/2023, Licensing Program Analyst (LPA) Julie Baptista conducted an unannounced inspection to complete the complaint investigation and provide findings. LPA met with Director Brenda Sanchez, and discussed the purpose of the inspection. A tour of the facility was conducted both inside and outside and census was taken.
There are two outdoor infant play areas. Located by the main office, the first outdoor play area is surrounded by a white fence about four feet high. The play area has artificial grass covering the ground from fence line to fence line. LPA observed several infant toys as well as a small plastic slide and small playhouse. Staff were in the outdoor play area within a few feet of children playing. Staff were talking to the children and providing guidance. During inspection on 4/13/23, LPA observed three anchor bolts rising from the ground beside the fence of the play area at the bottom of posts. The bolts range from half an inch tall to one inch in height. When LPA pointed out the bolts to Administrator, she stated she would have the bolts cut down. LPA observed a canopy shade covering the enclosure. The second outdoor play area does not contain anything inside and is covered by rubber cushioning material. This second outdoor play area is also surrounded by a picket fence four feet tall.
Continued on 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Brannon	TELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Julie Baptista	TELEPHONE: (559) 767-0213
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

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 04-CC-20230406145244

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: HAZEL'S CHRISTIAN PRESCHOOL&CHILD CARE CENTER II	FACILITY NUMBER: 503808990
	VISIT DATE: 05/25/2023

NARRATIVE

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LPA toured the infant classroom which is marked as room 5. The room did not have clutter and was vacuumed and clean and was sectioned with gates and tables. There was a second room adjacent with cribs and a rocking chair. The cribs had fitted sheets and no blankets or toys were in the cribs. There was a bookshelf along a back wall which had infant toys, books, small fabric storage cubes and other items stored neatly and orderly. LPA observed doors to classroom and observed aluminum screen doors on both outside doors to classroom #5. As a staff person who was holding a child was exiting the classroom, LPA witnessed the aluminum screen door did close with an audible bang slightly louder than a normal closing door. The screen closed into the frame of the door. The screens of the doors are ripped by the side with the handle. While the doors are not heavy, they do have a spring hinge at the top which will have the screen door self-close when someone enters or exits and if not guided, will slam shut. LPA also observed staff holding the screen door when entering or exiting with children when escorting the children to other areas. LPA observed staff to infant ratio was maintained. LPA observed staff talking to infants, comforting them, and providing guidance and engagement with infants during inspection.

During the course of this investigation, LPA made observations, reviewed records and conducted interviews. Based upon LPA Baptista’s observations and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, one deficiency is cited during today’s visit. Exit interview conducted with the Administrator, Hazel Domson. Appeal rights were provided to Administrator and a Notice of Site Visit was provided.

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.

SUPERVISOR'S NAME: Cynthia Brannon	TELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Julie Baptista	TELEPHONE: (559) 767-0213
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 04-CC-20230406145244

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: HAZEL'S CHRISTIAN PRESCHOOL&CHILD CARE CENTER II	FACILITY NUMBER: 503808990
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/25/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/25/2023 Section Cited CCR 101238(a)	1 2 3 4 5 6 7	101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. During inspection this requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee had bolts cut off at the ground and plates painted by maintenance staff and removed screen doors before today’s inspection.
	8 9 10 11 12 13 14	During inspection on 4/13/23 LPA observed three metal bolts anchored at fence posts were sticking out one inch. LPA observed two ripped screen doors on classroom #5 that upon closing did slam shut. This poses a potential risk to health, safety, or personal rights of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Cynthia Brannon	TELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Julie Baptista	TELEPHONE: (559) 767-0213
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

LIC9099 (FAS) - (06/04)

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