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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191225654
Report Date: 03/09/2020
Date Signed: 03/09/2020 11:33:03 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:WHITE OAK KID'S WORLDFACILITY NUMBER:
191225654
ADMINISTRATOR:ASHLEY CEKOVFACILITY TYPE:
840
ADDRESS:31761 VILLAGE SCHOOL RD.TELEPHONE:
(818) 597-9226
CITY:WESTLAKE VILLAGESTATE: CAZIP CODE:
91301
CAPACITY:90CENSUS: 0DATE:
03/09/2020
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Megan TislerTIME COMPLETED:
11:35 AM
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On March 09, 2020 at 10:05 am, Licensing Program Manager (LPM) George Mingle and Licensing Program Analyst (LPA) Francisco Pedroza met with Vice President, Mac Hahn, and Senior Director Megan Tisler for an office meeting at the Department of Social Services, Santa Barbara Regional Office. The purpose of the office meeting was to discuss recent substantiated complaints and cited deficiencies regarding the operation of the following Child Care Centers (Willow Kids World #191225916, New Yerba Buena # 197414519, and White Oak Kid's World # 191225654), Pursuant to Title 22, Division 12 of the California Code of Regulations.

Concerns discussed:
  • Recurring Complaints

  • Staff Ratio to Children

  • Health and Safety of Children

  • Training for Staff

In response to the discussion, Licensee has agreed to the following:
  • Licensee shall submit a written statement indicating how they will maintain compliance with California Code of Regulations, Title 22, Division 12 at all times by 03/27/2020.
  • Licensee shall submit in writing a plan of how they will monitor the staff to child ratio at all times in providing a safe and healthful environment for children in care by 03/27/2020.
  • Licensee shall submit a written statement no later than 03/27/2020, advising how they will ensure staff/children ratio compliance and prevent similar incidents from happening in the future.
Continued on 809-C
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: WHITE OAK KID'S WORLD
FACILITY NUMBER: 191225654
VISIT DATE: 03/09/2020
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  • Facility shall be placed on a 2 year compliance plan with increased inspections.
  • Licensee shall provide periodic training on Care and Supervision to staff and submit a training roster signed by all staff to the Department every four (4) months during the two (2) year compliance period.
  • Licensee shall provide sign-in/sign-out sheets for staff and children in care for the next six (6) months to the Department weekly.

Upon receipt, Licensee shall provide copies of this licensing report to parents/guardians of children in care and to parents/guardians of children newly enrolled at the facility during the next 12 months. The Acknowledgement of Receipt (LIC 9224) to parents shall be completed and signed by each parent/guardian with copies maintained in each child's file. Licensee was given a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020
LIC809 (FAS) - (06/04)
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