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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 406214343
Report Date: 10/04/2024
Date Signed: 10/04/2024 03:45:51 PM

Unsubstantiated


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
08/30/2024 and conducted by Evaluator Elvin Baddley
COMPLAINT CONTROL NUMBER: 17-CC-20240830162849
FACILITY NAME:ROSE FCC AKA DOWNTOWN BABY SHELL BEACHFACILITY NUMBER:
406214343
ADMINISTRATOR:ROBIN ROSEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 888-9504
CITY:PISMO BEACHSTATE: CAZIP CODE:
93449
CAPACITY:14CENSUS: 5DATE:
10/04/2024
UNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Robin RoseTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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1. Licensee is operating beyond the terms and conditions of the license
INVESTIGATION FINDINGS:
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On 10/4/24, at 3:10 PM, Licensing Program Analyst (LPA) Elvin Baddley made an unannounced inspection to deliver the finding with regard to the investigation into the abovementioned allegation. LPA met with Robin Rose, Licensee of the noted Family Child Care Home (FCCH). LPA explained the nature and purpose of the inspection to Licensee. LPA notes five children are on site at the time of the inspection.

The investigation included two unannounced inspections, LPA's observations and record reviews, as well as a random sampling of interviews of former and current parents of children in care. A former employee was also interviewed. It should be noted children in care were not interviewed given their ages/maturity.

Interviews, record reviews and LPA's observations did not corroborate the allegation noted above. Contrary to the allegation, the Licensee is operating within the terms and conditions of the licensure.

Although the allegations may have happened or are valid, there is not a (CONT. LIC 9099-C, Page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2024
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 2
Control Number 17-CC-20240830162849
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: ROSE FCC AKA DOWNTOWN BABY SHELL BEACH
FACILITY NUMBER: 406214343
VISIT DATE: 10/04/2024
NARRATIVE
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preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A Notice of Site Visit (LIC 9213) and Appeal Rights (LIC 9058) are provided to Licensee. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may appeal. Exit interview conducted and report was reviewed with the Licensee Robin Rose.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2024
LIC9099 (FAS) - (06/04)
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