<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 503605107
Report Date: 09/24/2025
Date Signed: 09/24/2025 02:52:22 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO 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
07/29/2025 and conducted by Evaluator Erica Pacheco
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20250729102601
FACILITY NAME:EMANUEL LUTHERAN DAY CAREFACILITY NUMBER:
503605107
ADMINISTRATOR:LAURA MARQUEZFACILITY TYPE:
830
ADDRESS:324 COLLEGE AVE.TELEPHONE:
(209) 523-4531
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY:20CENSUS: 16DATE:
09/24/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Laura MarquezTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff not redirecting daycare child resulting in self-harm.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/24/2025, Licensing Program Analyst (LPA) Erica Pacheco conducted an unannounced complaint inspection to provide findings regarding the above allegation. LPA met with Director Laura Marquez, toured the facility inside and outside and a census was taken.

LPA investigated the above allegation. During the investigation, LPA interviewed staff, reviewed video footage, conducted facility observations, and reviewed and obtained facility records. LPA reviewed footage and observed child #1 being dropped off by an authorized representative, placed on the carpeted floor and began banging their head on the floor. Staff #1 was in the room but did not immediately intervene which resulted in self-harm, therefore, the preponderance of the evidence standard has been met and the above allegation is found to be SUBSTANTIATED.

(continued on 809-C)

Substantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Erica Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2025
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 3
Control Number 04-CC-20250729102601
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: EMANUEL LUTHERAN DAY CARE
FACILITY NUMBER: 503605107
VISIT DATE: 09/24/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is cited on the attached LIC 9099D.

An exit interview conducted with Director Laura Marquez. A copy of this report and Appeal Rights were provided and discussed with Director.

A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Erica Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20250729102601
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: EMANUEL LUTHERAN DAY CARE
FACILITY NUMBER: 503605107
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/24/2025
Section Cited
CCR
101223(a)(3)
1
2
3
4
5
6
7
(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..

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
All staff will watch CCLD video Children's Personal Rights in Child Care, write a statement of understanding of the video, and Director will provide a sign in sheet of all staff that watched the video.
8
9
10
11
12
13
14
Based on review of video footage, staff did not redirect the child which resulted in self-harm.
8
9
10
11
12
13
14
Staff will print their name, date of attendance and provide signatures on sign in sheet. Director will submit the sign-in sheet to CCLD Fresno by POC deadline.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Kari McWilliams
LICENSING EVALUATOR NAME: Erica Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3