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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 243806059
Report Date: 08/04/2022
Date Signed: 08/05/2022 10:35:46 AM

Substantiated


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
07/22/2022 and conducted by Evaluator Robert Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220722165600
FACILITY NAME:DANA'S DAY CAREFACILITY NUMBER:
243806059
ADMINISTRATOR:HAUMEA, DANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 769-1293
CITY:LOS BANOSSTATE: CAZIP CODE:
93635
CAPACITY:14CENSUS: 6DATE:
08/04/2022
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Dana HaumeaTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Adults in the home are using felony drugs.
Licensee is not providing a safe environment for day care children while in care.
INVESTIGATION FINDINGS:
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On 8/4/22, Regional Manager (RM) Rebecca Varela, Licensing Program Manager (LPM) Juvenal Moctezuma and Licensing Program Analyst (LPA) Robert Gutierrez arrived at the facility to conduct an unannounced complaint inspection. The purpose of the inspection was to deliver investigation findings. LPA explained the allegations to Licensee, Dana Haumea, and a census was taken.

Based upon the interviews and information which were obtained through the IB Investigations Bureau, there is a preponderance of the evidence to prove the allegations are SUBSTANTIATED.

Per California Code of Regulation, Title 22, Division 12, deficiencies are being cited (continued on page 9099 D). Exit interview conducted with Licensee. The licensee was provided a copy of their appeal rights. A Notice of Site Visit Form was posted on parent's board and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Robert Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
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 2
Control Number 04-CC-20220722165600
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: DANA'S DAY CARE
FACILITY NUMBER: 243806059
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/04/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/04/2022
Section Cited
HSC
1596.885
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Conduct Inimical Health and Safety Code Section 1596.885(c): Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state.

This requirement was not met as evidenced by a complete investigation conducted by Los Banos City Police Department and CCLD Investigations Bureau.
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On 8/4/22 a Temporary Suspension Order was served to Licensee.
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An uncleared adult was found deceased in the facility during non day care hours due to a possible drug overdose and drug paraphernalia was located at the facility during the investigation. This poses an immediate danger and violation of the personal rights, health and safety risk to children in care.
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Type A
08/04/2022
Section Cited
CCR
102423(a)(2)
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Personal Rights 102423 (a)(2): Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee... These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations… This regulation was not met as evidenced by:
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On 8/4/22 a Temporary Suspension Order was served to Licensee.
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Based on interviews and information obtained, the Licensee allowed an uncleared adult with a restraining order against him to have access to the facility and be around the daycare children. This poses an immediate risk to the health, safety and/or personal rights of children in care.
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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: Robert Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2