426210153-11-22-2021-17-CC-MMUR-C93PHG-20211124101954

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 426210153
Report Date: 11/22/2021
Date Signed: 11/22/2021 12:49:37 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
08/27/2021 and conducted by Evaluator Sylvia Mendoza-Ceja

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20210827113517

FACILITY NAME:	ISLA VISTA CHILDREN'S CENTER		FACILITY NUMBER:	426210153
ADMINISTRATOR:	ERIKA MALDONADO		FACILITY TYPE:	830
ADDRESS:	6842 PHELPS RD.		TELEPHONE:	(805) 968-0488
CITY:	GOLETA	STATE: CA	ZIP CODE:	93117
CAPACITY:	27	CENSUS: 14	DATE:	11/22/2021
		UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Elizabeth Padilla		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Infant Child Ratios

INVESTIGATION FINDINGS:

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On November 22, 2021 at 11:05 AM, Licensing Program Analyst (LPA) S. Mendoza-Ceja conducted an unannounced inspection in order to conclude the complaint. Investigaiton included obtaining the child care roster, interviewing staff and parents, reviewing staff qualifications, including the Children's Center Personnel Roster. Prior to entry to the day care center, a risk assessment was conducted for COVID-19.

LPA met with Site Supervisor Elizabeth Padill and explained the purpose for the inspection. The Site Sueprvisor escorted LPA through the infant program. LPA spoke with Program Manager Erika Maldonado

Staff interviews revealed a fully qualified teacher has been left alone with more than 4 infants, an aide has also been left alone with more than 4 infants. Staff #1 was utilized as infant teacher does not have verificaiton of the 3 required infant units. Some staff have indicated management has assisted in the covering for break time. During today's inspection, LPA found that additional staff were working at this site (from West Campus) to meet the needs of the chidlren.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja	TELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

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-20210827113517

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: ISLA VISTA CHILDREN'S CENTER	FACILITY NUMBER: 426210153
	VISIT DATE: 11/22/2021

NARRATIVE

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Review of staff qualifications revealed staff #1 does not have 3 infant units which is required for an infant teacher.

Review of the Children's Center Personnel Roster lists staff #1 as a Bunnies Teacher.

Interviews conducted with 9 out of 10 parents revealed they are satisfied with the care.
However, some of the parents indicated they do not enter classroom due to COVID-19.

The following Type A deficiencies are cited on page #3 according to CCR, Title 22, Division 12.

Based on LPA's, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The following Type A deficiency is cited on page #3 according to California Code of Regulations, Title 22, Division 12 & Chapter number 102416.5 (b)(1) (A)(B) Staff-Infant Ratio are being cited on the attached LIC 9099D.

An exit interview was conducted, and Plan of Correction was reviewed and developed with the Site Supervisor and Program Manger (telephone). A copy of this report and appeal rights were discussed and left with the Site Supervisor

Upon receipt, post and provide copies of this licensing report: to parents/guardians of children in care at the facility and to parents/guardian of children newly enrolled at the facility during the next 12 months. Licensee shall obtain signatures of parents/guardian on the Acknowledgement of Receipt of Licensing Reports LIC 9224
LPA observed the Notice of Site Visit posted.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja	TELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 17-CC-20210827113517

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: ISLA VISTA CHILDREN'S CENTER	FACILITY NUMBER: 426210153
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/22/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 11/24/2021 Section Cited CCR 102416.5(b)(1)(A)(B)	1 2 3 4 5 6 7	101416.5 (b)(1) (A)(B) Staff-Infant Ratio There shall be a ratio of one teacher for every four infants in attendance. An aide may be substituted for a teacher when all of the following conditions are met: There is a fully qualified teacher directly supervising no more than 12 infants; and Each aide is responsible for the direct care and supervision of a group of no more than four infants.	1 2 3 4 5 6 7	Correct Immediately. Please submit a written plan of correction to Licensing for review by 11/24/2021 explaining how this violation will not be repeated.
	8 9 10 11 12 13 14	This requirement is not met as evidenced by LPAs interviews and record review which revealed Staff #1 was utilized as an infant teacher and does not have infant units. In addition, two other staff have supervised more than 4 infants alone on more than one ocassion which poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja	TELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

LIC9099 (FAS) - (06/04)

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