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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543802461
Report Date: 07/28/2023
Date Signed: 07/28/2023 11:57:19 AM

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: 5DATE:
07/28/2023
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Katherine OwensTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Child left in high chair without supervision.
INVESTIGATION FINDINGS:
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On 7/28/2023, Licensing Program Analyst (LPAs) Ruby Ocegueda conducted an unannounced complaint inspection at the facility. LPA met with licensee Katherine Owens. The purpose of the inspection was to deliver the finding for the above complaint allegation. A tour of the facility was conducted, and census was taken.

During the course of the investigation, LPA Ocegueda conducted multiple interviews of the reporting party (RP), licensee, parents and children. Regarding the allegation indicating “child left in highchair without supervision”, multiple interviews revealed that on at least on one occasion in the month of June 2023 (exact date unknown), licensee left a child #1 unattended in a high chair while she was outside momentarily. Interviews revealed that the child (child #1) was distressed (crying loudly) during the time that licensee left the child in the highchair inside the home. It is unclear how long licensee was outside. Licensee was advised that she should use all child equipment as directed and that children should be provided proper supervision while using this equipment to help avoid injuries or feel distressed. Report continued to 9099-C
Substantiated
Estimated Days of Completion: 30
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023
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 4
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: 07/28/2023
NARRATIVE
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This agency investigated the complaint alleging that “child left in highchair without supervision", and has determined that the complaint allegation was SUBSTANTIATED, meaning the preponderance of evidence standard has been met.

An exit interview was conducted with Licensee Katherine Owens.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, the following deficiency was cited: (see 9099-D). Appeal Rights were provided today. Notice of Site Visit LIC 9213 must be posted for 30 days.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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:534 E. MORTONTELEPHONE:
(559) 783-9065
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 5DATE:
07/28/2023
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Katherine OwensTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Child left in soiled diaper.

Licensee inappropriately disciplined child in care.
INVESTIGATION FINDINGS:
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On 7/28/2023, Licensing Program Analyst (LPA) Ruby Ocegueda conducted unannounced complaint inspection to address the allegations stated above. LPA met with Licensee Katherine Owens, toured the facility and took a census. The purpose of this inspection was to deliver the findings for the above listed allegations.

During the course of the investigation, LPA Ocegueda conducted interviews of reporting party, licensee, parents and children. Although the allegations may have happened or may be valid, there is not a preponderance of the evidence to prove the allegations stated above, therefore the allegation was found to be UNSUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, no deficiency is cited as it pertains to these allegations.

An exit interview was conducted with licensee Katherine Owens. A Notice of Site Visit was posted on parent board. This report shall be made available to the public upon request. Appeal Rights were provided.
Unsubstantiated
Estimated Days of Completion: 30
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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: 07/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/11/2023
Section Cited
CCR
102417(a)
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Operation of a Family Child Care Home. The licensee shall be present in the home and shall ensure that children in care are supervised at all times.
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Licensee stated she would complete a training on the ccld.ca.gov website pertaining to Supervision. LPA reviewed with licensee and assistant how to access the video on the website. Licensee will print the video transcript and sign and date as proof that she received the training.
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Based on interviews the licensee did not comply with the section cited above. On a date unknown in the month of June 2023, Licensee walked out of her home to assist someone outside momentarily and left child #1 who is an infant in a high chair unsupervised. Child #1 was crying in distress. This posed/poses a potential risk to the health, safety and or personal rights to children in care.
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Licensee will also be invited to the Fresno Regional Office to discuss the requirement to adhere to supervision and other family child care home regulations. Proof of signed/dated video trancripts will be submitted to the Department by POC date : 8/11/2023.
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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: 07/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4