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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 545620406
Report Date: 12/17/2024
Date Signed: 12/17/2024 09:50:28 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
10/24/2024 and conducted by Evaluator Lady Cabrera
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20241024110042
FACILITY NAME:CONTRERAS, KARISSA FAMILY CHILD CAREFACILITY NUMBER:
545620406
ADMINISTRATOR:CONTRERAS, KARISSAFACILITY TYPE:
850
ADDRESS:3732 N LEILA STTELEPHONE:
(559) 736-0782
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:14CENSUS: 3DATE:
12/17/2024
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Karissa ContrerasTIME COMPLETED:
09:50 AM
ALLEGATION(S):
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Child was placed in a booster chair as a form of restraint
INVESTIGATION FINDINGS:
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During the course of the investigation, LPA Cabrera collected facility records and conducted interviews of staff, parents and children. Based on interviews, it was determined Licensee maintained Infant 1 in a SpaceSaver highchair with a tray when infant was not eating and/or doing activities. It was reported infant was crying and kicking while on highchair and Licensee maintained child in highchair. Licensee continued with other children’s nap time routine while infant remained in highchair for about 10-15 minutes. Licensee then dragged highchair to living room while infant remained in highchair to watch television. Infant began to cry and kick while on highchair. Per manufacturer specifications, the highchair is intended for meals or snacks. Per interviews, physical evidence, and records reviewed, Infant 1 sustained bruising as a result of being restraint in highchair. Civil penalty is being assessed.

Per interviews, physical evidence and records reviewed, the preponderance of evidence has been met, the infant was placed on a highchair as a form of restraint. Based off statements gathered and information received, the infant sustained bruising from the highchair.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
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-20241024110042
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: CONTRERAS, KARISSA FAMILY CHILD CARE
FACILITY NUMBER: 545620406
VISIT DATE: 12/17/2024
NARRATIVE
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Based upon observations, and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

LPA Cabrera informed Licensee Karissa Contreras that this report dated 12/17/2024 documents one Type A citation which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.

Also, LPA Cabrera informed the Licensee Karissa Contreras to provide a copy of this licensing report dated 12/17/2024 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days. Appeal rights were provided to Licensee.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
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
10/24/2024 and conducted by Evaluator Lady Cabrera
COMPLAINT CONTROL NUMBER: 57-CC-20241024110042

FACILITY NAME:CONTRERAS, KARISSA FAMILY CHILD CAREFACILITY NUMBER:
545620406
ADMINISTRATOR:CONTRERAS, KARISSAFACILITY TYPE:
850
ADDRESS:3732 N LEILA STTELEPHONE:
(559) 736-0782
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:14CENSUS: 3DATE:
12/17/2024
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Karissa ContrerasTIME COMPLETED:
09:50 AM
ALLEGATION(S):
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Licensee did not ensure care and supervision was provided to child in care
INVESTIGATION FINDINGS:
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On 12/17/2024, Licensing Program Analyst (LPAs) Anita Tristian and Lady Cabrera conducted an unannounced complaint inspection at the facility. The purpose of the inspection was to deliver the findings for the above listed complaint allegation. LPAs tour the facility with the Licensee.

During the course of the investigation, LPA Cabrera collected facility records and conducted interviews of facility representatives, staff, parents and children. There were inconsistent statements and insufficient information to prove Licensee did not ensure care and supervision. The investigation revealed through interviews and review of records, that although the above allegation may have happened or is valid, there is not a preponderance of evidence at this time to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days. Appeal rights were provided to Licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
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-20241024110042
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: CONTRERAS, KARISSA FAMILY CHILD CARE
FACILITY NUMBER: 545620406
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/18/2024
Section Cited
CCR
102423(a)(2)
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102423 Personal Rights(a)Each child receiving services from a family child care home shall have certain rights that shall not...(2)To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.This requirement was not met as evidenced by:
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Licensee stated she will review personal rights regulation and will watch the Community Care Licensing (CCL) video titled “Children’s Personal Rights in Child Care”. This video can be viewed by accessing the Departments website: ccld.childcarevideos.org.
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Based on records reviewed, physical evidence and interviews, Licensee placed infant in a highchair as a form of restraint, which poses an immediate risk health, safety, or personal rights to children in care.
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 Licensee will submit written statement indicating her understanding of the regulation and video. Licensee will submit written statement to CCL by 12/18/2024. An Informal Office Meeting has been scheduled.
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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: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC9099 (FAS) - (06/04)
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