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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543801022
Report Date: 08/31/2026
Date Signed: 08/31/2026 12:44:07 PM

Unsubstantiated


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
06/04/2026 and conducted by Evaluator Nohemi Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20260604162354
FACILITY NAME:MAPLE TITLE I PRESCHOOLFACILITY NUMBER:
543801022
ADMINISTRATOR:CARMEN AGUILAFACILITY TYPE:
850
ADDRESS:640 W. CROSS AVENUETELEPHONE:
(559) 685-6500
CITY:TULARESTATE: CAZIP CODE:
93274
CAPACITY:40CENSUS: 6DATE:
08/31/2026
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Pam CostaTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff did not notify parent or authorized representative child had lice
Staff hit child
Child sustained injury due to staff neglect or physical abuse
Staff did not notify parent or authorized representative of incident
INVESTIGATION FINDINGS:
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On August 31, 2026, Licensing Program Analyst (LPA) Nohemi Sanchez conducted an unannounced Complaint Inspection to deliver findings for the above-mentioned allegations. LPA Sanchez met with Curriculum Specialist, Pam Costa. LPA Sanchez discussed the above allegations and the reason for the inspection. A tour of the facility was conducted, and a census was taken.

In regard to the allegation of Staff did not notify parent or authorized representative child had lice, it was revealed that the allegation is UNSUBSTANTIATED. During the investigation, LPA Sanchez interviewed the Preschool Coordinator, Staff, Day Care Parents. LPA Sanchez also reviewed facility records. This agency determined that the complaint is Unsubstantiated. 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.

Continued on LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Nohemi Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2026
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 57-CC-20260604162354
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: MAPLE TITLE I PRESCHOOL
FACILITY NUMBER: 543801022
VISIT DATE: 08/31/2026
NARRATIVE
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In regard to the allegation of Staff hit child, it was revealed that the allegation is UNSUBSTANTIATED. During the investigation, LPA Sanchez interviewed the Preschool Coordinator, Staff, Day Care Parents. LPA Sanchez also reviewed facility records. This agency determined that the complaint is Unsubstantiated. 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.

In regard to the allegation of Child sustained injury due to staff neglect or physical abuse, it was revealed that the allegation is UNSUBSTANTIATED. During the investigation, LPA Sanchez interviewed the Preschool Coordinator, Staff, Day Care Parents. LPA Sanchez also reviewed facility records. This agency determined that the complaint is Unsubstantiated. 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.

In regard to the allegation of Staff did not notify parent or authorized representative of incident, it was revealed that the allegation is UNSUBSTANTIATED. During the investigation, LPA Sanchez interviewed the Preschool Coordinator, Staff, Day Care Parents. LPA Sanchez also reviewed facility records. This agency determined that the complaint is Unsubstantiated. 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.

A copy of appeal rights were provided to Curriculum Specialist.
An exit interview was conducted with Curriculum Specialist Pam Costa. Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiencies cited during today's visit. A notice of site visit was issued and must remain posted for 30 days.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Nohemi Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2026
LIC9099 (FAS) - (06/04)
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