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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543802461
Report Date: 06/27/2023
Date Signed: 06/27/2023 02:56:01 PM

Substantiated


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
06/21/2023 and conducted by Evaluator Ruby Ocegueda
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20230621080542
FACILITY NAME:OWENS FAMILY CHILD CAREFACILITY NUMBER:
543802461
ADMINISTRATOR:OWENS, KATHERINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 783-9065
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 6DATE:
06/27/2023
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Katherine OwensTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Facility is not clean and orderly.

Licensee disclosed daycare child's personal information.
INVESTIGATION FINDINGS:
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On 6/27/2023, Licensing Program Analysts (LPAs) Ruby Ocegueda and Meche Rosales conducted an unannounced complaint inspection for the purpose of addressing the complaint allegations listed above. Upon arrival, LPA Ocegueda and Meche Rosales disclosed the reason for the inspection and met with licensee Owens. LPA's toured the home inside and outside and took a census.

Today, during the investigation, LPA Ocegueda conducted interviews of licensee and child(ren). LPA previously interviewed Reporting Party (RP). LPA's also noted and discussed observations of the facility today. The investigation revealed that several areas of the facility are unclean and disorderly. The following is a summary of what LPA’s Ocegueda and Rosales observed today.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2023
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 5
Control Number 57-CC-20230621080542
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: OWENS FAMILY CHILD CARE
FACILITY NUMBER: 543802461
VISIT DATE: 06/27/2023
NARRATIVE
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Outside, licensee had several areas with extensive cobwebs, it was evident that the toys or objects that the cobwebs were observed on had not been cleaned recently. On top of a chicken coop, there were multiple items. Items included a rusted screwdriver, rusted metal objects, glass objects and pruning scissors. There were three stools next to the coop that children could climb and there was at least one child in care that could reach the lowest part of the top of the chicken coop. In a corner area of the play yard were multiple areas of heavy plant growth and rotting fruit. In the same area there were toys that were dirty and full of cobwebs. Child #2 was observed to have a dirty toy in his/her mouth today while outside. In a different area there was an accessible leaf blower. There was a bottle of gorilla brand glue (that had “keep out of reach of children”) on label on top of a high chair and that also had multiple items. Licensee confirmed that LPA had recently advised that licensee should monitor her yard for any uncleanliness and safety hazards. Licensee confirmed the observation. Licensee removed the leaf blower and gorilla brand glue today.

Inside the home, LPA’s observed a stained play yard, with tears on the netting. Licensee confirmed that infant #1 sleeps inside the play yard. The changing table had a dirty, stained, pillow and a dirty and stained changing pad. Licensee confirmed that the cat sleeps on the blankets that were stacked near the window. Licensee stated that the cat only sleeps on the very top blanket. Licensee confirmed that the cat likely brought in a mouse into the facility but that the children did not make contact with the dying mouse. Inside the kitchen, there were multiple items in the kitchen counters. The counters were unclean and cluttered. The stove also was full of other food items it was difficult to see the surface. Licensee confirmed that she continues to use the kitchen to prepare meals. In the kitchen area where the children pass through to go to the restroom, there was multiple cleaning solutions that were accessible. The day care room had a distinct odor but it was unclear where it stemmed from. Licensee confirmed that she does allow the animals to come in and today, there were three dogs that were observed inside the day care room.
As it pertains to the allegation related to licensee disclosing personal information of child(ren) in care, LPA was able to confirm via interview details about child #1 that only licensee would have information about. Interviews revealed that licensee did not protect child #1’s confidential information. LPA discussed avoiding making any comments related to children in care to others even in any casual manner.
Report continued from previous 9099 page
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 57-CC-20230621080542
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: OWENS FAMILY CHILD CARE
FACILITY NUMBER: 543802461
VISIT DATE: 06/27/2023
NARRATIVE
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This agency has investigated the complaint allegations stated above. After review of the evidence, interviews and observations, the Department has found that the complaint was SUBSTANTIATED, meaning the preponderance of evidence standard has been met.

Per California Code of Regulation, Title 22, Division 12, Chapter 3, the following deficiencies were cited (see LIC 9099-D). A copy of this report and appeal rights were provided to Licensee.

Notice of Site Visit LIC 9213 will be posted for 30 days.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 57-CC-20230621080542
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: OWENS FAMILY CHILD CARE
FACILITY NUMBER: 543802461
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/11/2023
Section Cited
CCR
102423(a)(1)
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Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:(a) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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LPA's reviewed the report in detail and all observations related to her facility today. Licensee stated she would clean the cob webs, make areas of potential risk in back yard inaccessible, replace the high chairs, replace the play yard, replace changing pad, clean kitchen and remove any cleaning solutions to inaccessible areas. In addition, licensee will attend a meeting to discuss the deficiencies at hand at the Fresno Regional Office. Licensee will submit photos of corrections by due date and LPA will also conduct a return inspection to confirm the corrections were completed
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This requirement was not met as evidenced by: observation and interview. Licensee confirmed that there were multiple items in her facility that were unclean or not orderly making for potentially unhealthful and unsafe conditions (see 9099 and 9099 C's for details). This poses a potential risk to the health, safety and or personal rights risks to persons in care.
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Type B
07/11/2023
Section Cited
CCR
102423(a)(2)
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Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To be treated with dignity in his/her personal relationship with staff and other persons.
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Licensee stated she would complete Personal Rights training via ccld.ca.gov webiste. LPA provided the link to the training. Proof of training written dialogue will be printed and signed as proof of completion. Proof will be submitted to the Department by POC date: 7/11/2023.
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This requirement was not met as evidenced by: multiple interviews. Interviews revealed that licensee did not ensure that child #1's personal information was kept confidential from unauthorized person(s). This poses a potential risk to the health, safety, and or personal rights risks to 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: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5