Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543808902
Report Date: 01/07/2016
Date Signed 01/07/2016 03:33:38 PM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 E.SHAW AV,STE 300-MS 29-01
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/05/2016 and conducted by Evaluator Kathie Campbell
COMPLAINT CONTROL NUMBER: 04-CC-20160105155757
FACILITY NAME:FAMILY FOCUS PARKVIEW PRESCHOOLFACILITY NUMBER:
543808902
ADMINISTRATOR:TANNER-JEWELL, LUCINDAFACILITY TYPE:
850
ADDRESS:5911 S. MOONEY BLVDTELEPHONE:
(559) 627-0700
CITY:VISALIASTATE: ZIP CODE:
93277
CAPACITY:73CENSUS: 30DATE:
01/07/2016
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Program Manager, Isidro SilvaTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Facility didn't provide parents copy of A violations
INVESTIGATION FINDINGS:
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On this date LPAs Kathie Campbell & Norma Lomeli arrived at facility to conduct an unannounced complaint visit to gather information to investigate the above allegation. Met with program manager, Isidro Silva who accompanied LPA during tour of facility both inside and outside. LPA explained the allegation. Census was taken. LPA interviewed staff, reviewed sign-in/out sheets, and reviewed facility records. During the investigation during today's visit it was revealed the center did not give parents a copy of the A violations that were cited on 1/4/16. Parents were asked to sign the LIC9224 and staff explained the violations, unless the parent asked for a copy they were not given one. Based upon 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 this deficiency is cited on the attached LIC 9099D.
An exit interview conducted with program manager, Isidro Silva. The licensee's representative was provided a copy of their appeal rights (LIC9058 12/15) and their signature on this form acknowledges receipt of this form.
A Notice of Site Visit Form was posted and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)243-4588
LICENSING EVALUATOR NAME: Kathie CampbellTELEPHONE: (559) 341-4724
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2016
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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Control Number 04-CC-20160105155757

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 E.SHAW AV,STE 300-MS 29-01
FRESNO, CA 93710
FACILITY NAME: FAMILY FOCUS PARKVIEW PRESCHOOL
FACILITY NUMBER: 543808902
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/07/2016
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/11/2016
Section Cited
H&S 1596.8595
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Health and Safety Code Section 1596.8595 (c) A licensed child care home shall provide to the parents of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as specified in paragraph (1) of subdivision (a) of Section 1596.893b.
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Licensee agrees to ensure all parents/guardians of children in care received the required copy of the Care & Supervision and Personal Rights, A violations cited on 1/4/15. A statement from program manager that copies were given to all current parent and will be given to any new parent/guardians for up to 12 months to be received at the Fresno CCL office by 1/11/16.
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LPA determined through interviews that Parents were asked to sign the LIC9224 and staff explained the violations, unless the parent asked for a copy they were not given one. This is a potential risk to the health and safety of children in care.
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The A violations cited were serious violations and these violations will be reviewed by management for a possible noncompliance conference.
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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.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)243-4588
LICENSING EVALUATOR NAME: Kathie CampbellTELEPHONE: (559) 341-4724
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2016
LIC9099 (FAS) - (06/04)
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