191225916-6-24-2019-17-CC-GMIE-BE7MB2-20190718092711

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191225916
Report Date: 06/24/2019
Date Signed: 06/24/2019 10:30:54 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/18/2019 and conducted by Evaluator Francisco Pedroza

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20190418220643

FACILITY NAME:	WILLOW KIDS WORLD		FACILITY NUMBER:	191225916
ADMINISTRATOR:	LINDSEY GRUDT		FACILITY TYPE:	840
ADDRESS:	29026 LARO DR.		TELEPHONE:	(818) 879-9665
CITY:	AGOURA HILLS	STATE: CA	ZIP CODE:	91301
CAPACITY:	90	CENSUS: 31	DATE:	06/24/2019
		UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Shunta Hutchins		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Facility staff operating out of ratio.
Staff failed to keep the facility free of hazards.
Facility is unkempt.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Francisco Pedroza made an unannounced visit to conclude a complaint investigation into the above allegations. LPA met with Site Supervisor Shunta Hutchins and discussed the nature and purpose of the visit.

Allegations stated the facility staff is out of ratio, staff failed to keep the facility free of hazards, and facility is unkept. During this investigation, LPA made two unannounced visits and toured the facility on each visit. The information gathered from LPA's observations, staff and parent interviews found the facility is in compliance with regulations. This agency has investigated the complaint regarding the above allegations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTATIATED.

LPA observed "Notice of Site Visit" posted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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