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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426207378
Report Date: 10/15/2021
Date Signed: 10/15/2021 11:43:45 AM

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
07/21/2021 and conducted by Evaluator Sylvia Mendoza-Ceja
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20210721165554
FACILITY NAME:CAC - CHESTNUT TODDLER CENTERFACILITY NUMBER:
426207378
ADMINISTRATOR:MARIA CERVANTESFACILITY TYPE:
850
ADDRESS:120 W. CHESTNUT AVE.TELEPHONE:
(805) 740-4555
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:20CENSUS: 9DATE:
10/15/2021
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Magdelina MoralesTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff did not properly clean day-care child.

Child was left in a soiled diaper.
INVESTIGATION FINDINGS:
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On 10/15/2021 at 11:10AM, Licensing Program Analyst (LPA) S. Mendoza-Ceja met with the Magdelina Morales and explained the purpose of the inspection which is to conclude the investigation of the above allegations. Prior to entering the facility a risk assessment was conducted. Investigation included obtaining complainant's statement, interviewing the site supervisor and other staff, six out seven parents of children in the toddler program were interviewed; and reviewed child #1's file, and diaper changing logs.

The Site Supervisor stated she was not aware of any diaper changing issue until it was brought to her attention during a parent orientation to their program. The Site Supervisor provided LPA diaper changing logs that are maintained in a binder in the classroom. Staff interviewed revealed they were working with some of the children who had toileting/diaper issues, but also documented their concerns and discussion with parents. The site supervisor and staff interviewed did not corroborate complainant's allegations.

Parent Interviews did not corroborate any diapering or toileting concerns. Parents interviewed indicated their children's needs were met and there were no concerns with toileting or diapering.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021
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-20210721165554
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: CAC - CHESTNUT TODDLER CENTER
FACILITY NUMBER: 426207378
VISIT DATE: 10/15/2021
NARRATIVE
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LPA reviewed the diaper changing logs which includes the date, time, and description of the diaper (Wet, Dry, BM-Soilded, or DA-Diarrhea). LPA also reviewed child #1's file, Diaper Changing Log, including Case Notes for child #1.

The above allegations are unsubstantiated, based on LPA's interviews with staff, parents of children in care, and record review. Although these allegations may have occurred, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore, the allegations listed above are deemed UNSUBSTANTIATED.

Exit interview was conducted with Site Supervisor, during which appeal rights were explained.

This report along with a copy of the appeal rights and Notice of Site Visit (LIC9213) were provided.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2