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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543911526
Report Date: 10/25/2022
Date Signed: 10/25/2022 11:09:14 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
09/14/2022 and conducted by Evaluator Ruby Ocegueda
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20220914174852
FACILITY NAME:ANDRADE, ADRIANA FAMILY CHILD CAREFACILITY NUMBER:
543911526
ADMINISTRATOR:ANDRADE, ADRIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 483-0752
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 4DATE:
10/25/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Adriana Andrade TIME COMPLETED:
11:25 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee operated beyond the terms of the license.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/25/2022, Licensing Program Analyst (LPA) Ruby Ocegueda, conducted an unannounced complaint inspection at the facility. LPA met with licensee Adriana Andrade and explained the reason for the inspection. The purpose of the inspection was to deliver the findings for the above complaint allegation. A tour of the facility was conducted and census was taken.

During the course of the investigation, LPA Ocegueda collected facility records and conducted multiple interviews of the reporting party, licensee, staff and parents. During interview, licensee indicated that she had enrolled new infants in August and early September of 2022. Licensee stated that she took care of 4 infants (children who were under age 2 years old) and one preschool aged child (child who is over the age of 2 years old) alone on about two occasions while her assistant (S2) was picking up children from a nearby school on an unknown date in early September 2022.

Continued to 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
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-20220914174852
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: ANDRADE, ADRIANA FAMILY CHILD CARE
FACILITY NUMBER: 543911526
VISIT DATE: 10/25/2022
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
Licensee stated she did not understand capacity and ratio requirements when caring for children without an assistant. Currently, licensee only has 2 infants enrolled. On 9/20/2022 and during today’s inspection, LPA Ocegueda provided technical assistance and written information on ratios and capacity. LPA reminded licensee of the requirement to operate under the terms of her license at all times.

The Department has investigated the allegation stating, “licensee operated beyond the terms of her license” and found that the allegation was SUBSTANTIATED meaning the preponderance of evidence standard has been met.

An exit interview was conducted with Licensee Adriana Andrade.

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: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 57-CC-20220914174852
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: ANDRADE, ADRIANA FAMILY CHILD CARE
FACILITY NUMBER: 543911526
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/08/2022
Section Cited
CCR
102416.5(e)
1
2
3
4
5
6
7
Staffing Ratio and Capacity. If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement was not met as evidenced by record review and interviews. Licensee stated that on approximately two occassions in early
1
2
3
4
5
6
7
Licensee stated that as of 9/9/2022, she only had 3 infants enrolled and that one infant (infant #3) has turned age 2 years this month, leaving her with only 2 infants currently enrolled. LPA reviewed and provided verbal and written guidance on ratio and capacity requirements for her license.
8
9
10
11
12
13
14
September 2022, she cared for infants #1,#2,#3 and #4 as well as child #5 alone for approximately 20 minutes causing her to be out of ratio. This poses a potential health, safety and or personal rights risks to persons in care.
8
9
10
11
12
13
14
Today, Licensee completed a written statement indicating she understood the requirement to follow all ratio and capacity requirements when operating her facility with and without an assistant. Deficiency cleared today.
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: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4