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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 163911519
Report Date: 05/12/2023
Date Signed: 05/12/2023 10:36:17 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH 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
02/15/2023 and conducted by Evaluator Kari McWilliams
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20230215141423
FACILITY NAME:RODRIGUEZ, YESENIA FAMILY CHILD CAREFACILITY NUMBER:
163911519
ADMINISTRATOR:RODRIGUEZ, YESENIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 380-7691
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:14CENSUS: 8DATE:
05/12/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Yesenia RodriguezTIME COMPLETED:
10:45 AM
ALLEGATION(S):
1
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9
Adult in the facility inappropriately touched child in care
INVESTIGATION FINDINGS:
1
2
3
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5
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7
8
9
10
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12
13
On May 12, 2023 Licensing Program Analyst’s (LPAs) Kari McWilliams and Adrian Pizano arrived at the facility to conduct an unannounced complaint investigation. The purpose of this inspection was to deliver findings regarding the above listed allegation; Adult in the facility inappropriately touched child in care. LPA’s met with Licensee Yesenia Rodriguez.

The investigation was completed by CCLD Investigator Maria Barragan with the CDSS/CCLD Investigations Branch.

Although the allegation may have happened or is valid. There is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted with Licensee Yesenia Rodriguez. Notice of Site Visit Form to be posted to parent's board and must remain posted for 30 days. Appeal rights were provided to Licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Kari McWilliams
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
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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