401700014-12-15-2023-17-CC-GMIE-D2G2AR-20240214161354

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 401700014
Report Date: 12/15/2023
Date Signed: 12/15/2023 12:01:00 PM

Substantiated

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
12/11/2023 and conducted by Evaluator Martina Jimenez

COMPLAINT CONTROL NUMBER: 17-CC-20231211135603

FACILITY NAME:	CAPSLO - ATASCADERO HEAD START		FACILITY NUMBER:	401700014
ADMINISTRATOR:	KAREN EASTON		FACILITY TYPE:	850
ADDRESS:	965 EL CAMINO REAL		TELEPHONE:	(805) 466-2190
CITY:	ATASCADERO	STATE: CA	ZIP CODE:	93422
CAPACITY:	40	CENSUS: 15	DATE:	12/15/2023
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Karen Easton		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Facility staff do not ensure children are not disturbed while napping.

INVESTIGATION FINDINGS:

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On 12/15/2023, at 9:40 AM, Licensing Program Analyst (LPA) Martina Jimenez conducted an unannounced inspection to initiate a compliant investigation reference to the above allegations.

LPA met with Karen Easton, Director, LPA Jimenez explained the nature and purpose of the investigation. LPAs observed 15 children and 4 staff present at the time of the inspection.

The investigation included one (1) unannounced inspections, LPAs observation, interviews with the Director, staff, and, documents obtained during the inspection.

The allegations references the facility staff do not ensure children are not disturbed while napping.

CONT LIC 9099-C & LIC 9102

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2023

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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Control Number 17-CC-20231211135603

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: CAPSLO - ATASCADERO HEAD START	FACILITY NUMBER: 401700014
	VISIT DATE: 12/15/2023

NARRATIVE

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The Director stated the center had an alarm system installed to ensure the safety of the children. The front door, back door and storage room door have doors alarm to notify staff of when the doors are opened. These door are in the children's classroom, which is also the napping room. When the doors are opened the sound from the door alarm sometimes wakes up the children in care, disturbing the children's nap.

Based on LPA’s observation, interviews with Director, staff, and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The Director will be emailing the roster to LPA Jimenez at: Martina.Jimenez@dss.ca.gov by 12/15/23.

Today, A Technical Advisory was issued during today's inspection. Appeal rights provided to Director. LPA provided the Director a Notice of Site (LIC 9213),LPA observed the "Notice of Site Visit" posted. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY. This REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2023

LIC9099 (FAS) - (06/04)

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