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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426210089
Report Date: 03/02/2022
Date Signed: 03/02/2022 12:15:27 PM



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
12/09/2021 and conducted by Evaluator Gigi Reyes
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20211209163930
FACILITY NAME:ANDALON FAMILY CHILD CAREFACILITY NUMBER:
426210089
ADMINISTRATOR:ROSA ANDALONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 686-1529
CITY:SANTA YNEZSTATE: CAZIP CODE:
93460
CAPACITY:14CENSUS: 4DATE:
03/02/2022
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Rosa Andalon TIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Licensee handled day care child in an inappropriate manner
INVESTIGATION FINDINGS:
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On March 2, 2022, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced inspection to deliver the finding on the above allegation. Prior to inspection, LPA asked pre screening questions related to COVID 19, Licensee's responses indicate there was no COVID exposure on site. LPA met with Licensee Rosa Andalon and explained the nature of the inspection. There were 4 children present during the inspection.

Regarding the allegation Licensee handled day care child in an inappropriate manner, the Department received a complaint alleging licensee picked up a child by one arm off the ground lifting the child's entire body weight and allegedly caused the child to cry. On 3/2/2022, LPA interviewed the Licensee who denied the allegation, Licensee stated that Child # 1 was already crying as they came in to the day care, Child # 1 was wobbley and fell on the floor.

Based on LPA's interviews and observation, no one witnessed the alleged incident. LPA interviewed parents of currently and previously enrolled day care children, none of the parents corroborated with the allegation.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2022
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-20211209163930
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: ANDALON FAMILY CHILD CARE
FACILITY NUMBER: 426210089
VISIT DATE: 03/02/2022
NARRATIVE
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Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did nor did not occur, therefore the allegation is Unsubstantiated.

No deficiency was cited during the inspection.

LPA observed "Notice of Site Visit" posted. Exit Interview was conducted with Licensee, Rosa Andalon.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2