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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 406214895
Report Date: 12/04/2023
Date Signed: 12/04/2023 12:44:22 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
09/15/2023 and conducted by Evaluator Elvin Baddley
COMPLAINT CONTROL NUMBER: 17-CC-20230915113241
FACILITY NAME:MORRO BAY UNITED METHODIST CHILDREN'S CENTERFACILITY NUMBER:
406214895
ADMINISTRATOR:CHRISTY HILLIARDFACILITY TYPE:
850
ADDRESS:3000 HEMLOCKTELEPHONE:
(805) 772-7897
CITY:MORRO BAYSTATE: CAZIP CODE:
93442
CAPACITY:60CENSUS: 20DATE:
12/04/2023
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Christy HilliardTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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1. Child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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On 12/4/23, Licensing Program Analyst (LPA) Elvin Baddley made an unannounced inspection to deliver the findings with regard to abovementioned Complaint allegation. LPA met Christy Hilliard, Administrator of the above Child Care Center (CCC). LPA explained the nature of the inspection and tour both the interior and exterior of the CCC. LPA notes 20 children are present along with five staff members providing care and supervision.

The investigation included observations, record reviews, interviews and two unannounced site inspections. As noted above, the specific allegation of the Complaint is with respect to a child in care sustaining an explained injury while in care.

Facility Administrator acknowledged a child in care, C1, had an unexplained injury on or about 9/15/23. Administrator was unaware how the injury occurred, but noted the CCC had a sufficient number of staff supervising children in care and the child to staff ratio at the time was superior to regulatory requirements.
(COMT.9099-C, Page 2)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023
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-20230915113241
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: MORRO BAY UNITED METHODIST CHILDREN'S CENTER
FACILITY NUMBER: 406214895
VISIT DATE: 12/04/2023
NARRATIVE
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Further, C1 was newly enrolled in the CCC, thus C1 was individually shadowed and monitored by various staff members at different times while playing on/in the CCC's outdoor sandbox, climbing structures and swing sets. The CCC noted C1 displayed no signs of being in discomfort or injured while at the CCC. Moreover, the scratch or gash suggesting C1's injury was observed near C1's hairline and was disclosed to CCC staff after C1 was taken home. As such, C1's injury may not have been visible to staff members and may not have occurred on site. Notwithstanding, statements of the Administrator both corroborate and mitigate the allegation. There was no negligence from the CCC in this incident.

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

A closing interview was conducted with Administrator. Administrator was provided and advised of their right to appeal (LIC 9058). A copy of this report was reviewed and provided to the Administrator.

The Notice of Site Visit (LIC 9213) was also provided to the Administrator as required by H&S Code Section 1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2