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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 105601043
Report Date: 11/15/2024
Date Signed: 11/15/2024 02:54:35 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 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
11/08/2024 and conducted by Evaluator Denisia Jimenez
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20241108101116
FACILITY NAME:FOWLER UNIFIED EARLY LEARNING EDUCATION CENTERFACILITY NUMBER:
105601043
ADMINISTRATOR:TYLER, MARTHAFACILITY TYPE:
860
ADDRESS:350 N ARMSTRONGTELEPHONE:
(559) 365-1598
CITY:FOWLERSTATE: CAZIP CODE:
93625
CAPACITY:72CENSUS: 45DATE:
11/15/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Monica Ruiz TIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff released day care child to an unauthorized adult.
Staff did not ensure required sign in/out procedures were followed.
INVESTIGATION FINDINGS:
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On 11/15/2024, Licensing Program Analyst (LPA) Denisia Jimenez conducted an unannounced complaint inspection to initiate and conclude a complaint investigation. LPA met with Vice Principal, Monica Ruiz. LPA explained the reason for this visit and discussed the allegations. LPA toured the classroom, and a census was taken.
The investigation consisted of a review of records, observations, interviews, and an analysis of additional pertinent information obtained during the investigation. Regarding the allegation that sign in and sign out procedures not being followed, it was determined that during the month of October and November of 2024, 33 parent signatures were missing from the sign/in out sheets.
Based on LPA observation and the information obtained, there is a preponderance of the evidence to support that staff did not ensure required sign in/out procedures were followed; therefore, the allegation is substantiated.

(Continued on 9099-C)
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024
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-20241108101116
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: FOWLER UNIFIED EARLY LEARNING EDUCATION CENTER
FACILITY NUMBER: 105601043
VISIT DATE: 11/15/2024
NARRATIVE
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Regarding the allegation that a child was removed from the facility from an individual that was not authorized in the child’s record to remove the child, it was determined that on at least 6 separate occasions, an unauthorized adult with consent from parent #2, who is not listed on the Identification and Emergency Information (LIC 700), removed child #1 from the facility.

Based on LPA observation, interviews and the information obtained, there is a preponderance of the evidence to support that child #1 was removed from the facility by an adult that was not authorized to do as referenced in the child’s file; therefore, the allegation is substantiated.

The Department has therefore investigated the aforementioned complaint allegations and is substantiating the allegations based on the preponderance of evidence standard as being met. Per California Code of Regulations, Title 22, Division 12, Chapter 1, the following Type B deficiency citations are being issued. Please see (see 9099-D) for deficiency citations.

Exit interview conducted report and appeal rights was reviewed with the facility Vice Principal, Monica Ruiz.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 57-CC-20241108101116
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: FOWLER UNIFIED EARLY LEARNING EDUCATION CENTER
FACILITY NUMBER: 105601043
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/15/2024
Section Cited
CCR
101223(a)3
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ersonal Rights(a)The licensee shall ensure that each child is accorded the following personal rights: (3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
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Vice principal stated she will conduct training with staff on personal rights and submit proof to LPA by 12/20/24.
Enrollment coordinator also contacted parent #2 to fill out emergency form to add authorized persons to pick up child #1.
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This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above. Staff released day care child to an unauthorized adult not listed on the emergency form which poses a potential health, safety or personal rights risk 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: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 57-CC-20241108101116
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: FOWLER UNIFIED EARLY LEARNING EDUCATION CENTER
FACILITY NUMBER: 105601043
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/15/2024
Section Cited
CCR
101229.1(a)(b)
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(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain, and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following:(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.
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Vice principal stated she will do training for the sign in and sign out procedures and send LPA proof by 12/20/24. An email was also sent to all staff to ensure that parents are signing in and out and in the correct child's name.
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This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above. Staff did not ensure required sign in/out procedures were followed which poses a potential health, safety or personal rights risk 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: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024
LIC9099 (FAS) - (06/04)
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