421701053-5-9-2022-17-CC-ATOO-CEDMTK-20220513095338

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 421701053
Report Date: 05/09/2022
Date Signed: 05/09/2022 02:34:14 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
02/14/2022 and conducted by Evaluator Francisco Pedroza

COMPLAINT CONTROL NUMBER: 17-CC-20220214151800

FACILITY NAME:	CARPINTERIA KINDERKIRK PRESCHOOL & DAY CARE CENTE		FACILITY NUMBER:	421701053
ADMINISTRATOR:	KALEIGH WILLIAMS		FACILITY TYPE:	850
ADDRESS:	1111 VALLECITO RD		TELEPHONE:	(805) 684-4070
CITY:	CARPINTERIA	STATE: CA	ZIP CODE:	93013
CAPACITY:	104	CENSUS: 30	DATE:	05/09/2022
		UNANNOUNCED	TIME BEGAN:	01:16 PM
MET WITH:	Kaleigh Williams		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Personal Rights - Facility is not following COVID-19 protocols.

INVESTIGATION FINDINGS:

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On May 9, 2022 @ 1:16 PM Licensing Program Analysts (LPAs) Francisco Pedroza and Rona Chavez conducted an unannounced inspection to conclude a complaint investigation. LPAs met with Director Kaleigh Williams and advised of the purpose of the inspection. The Director provided LPAs a tour of the facility inside and out. There were 30 children in care at the time of the inspection.

Allegation(s) stated that the facility is not following COVID-19 protocols. LPAs conducted two unannounced inspections touring the facility inside and out during each inspection. During the course of the investigation, LPAs conducted interviews with facility staff and parents. Information gathered during the interviews collaborated with the allegation(s). During the months of January and February 2022, the facility had several positive Covid-19 cases that occurred creating an epedemic outbreak within the facility. The faciltiy followed standard Public Health (PH) guidelines during the outbreak.

Continued on 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2022

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-20220214151800

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: CARPINTERIA KINDERKIRK PRESCHOOL & DAY CARE CENTE	FACILITY NUMBER: 421701053
	VISIT DATE: 05/09/2022

NARRATIVE

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The facility had positive children and staff quarantine at home and the exposed classrooms were temporarily closed to prevent the spread of the COVID-19 virus. During these outbreaks, the facility failed to report the positive outbreak(s) to Community Care Licensing (CCL).

Based on LPAs observations and interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. A Technical Violation for 101212(d)(1)(E) Reporting Requirements was cited today. Facility Director was provided a copy of their appeal rights.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2022

LIC9099 (FAS) - (06/04)

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