426212147-8-5-2019-17-CC-MMUR-BEVVD2-20190809162001

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 426212147
Report Date: 08/05/2019
Date Signed: 08/05/2019 11:07:45 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
05/15/2019 and conducted by Evaluator Gigi Reyes

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20190515083328

FACILITY NAME:	ADAM FAMILY CHILD CARE		FACILITY NUMBER:	426212147
ADMINISTRATOR:	LISA ADAM		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 354-8281
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93455
CAPACITY:	14	CENSUS: 10	DATE:	08/05/2019
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Lisa Adam		TIME COMPLETED:	10:50 AM

ALLEGATION(S):

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The day care area is dirty and unsafe for children
Napping equipment used by multiple children

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Gigi Reyes conducted an unannouced inspection to deliver the final findings on the above allegations. There were 10 children when LPA arrived. LPA met with the Licensee and Assistant.

Complainant reported that day care area is dirty and unsafe for children. LPA conducted subsequent visits and did not observe any unsafe condition at day care. During the initial inspection on May 20, 2019 1:00 PM, LPA observed dishes piled up in the sink, Licensee stated lunch was just prepared and children were still having lunch. Prior to LPA living the facility LPA inspected the kitchen, it was observed that kitchen sink was cleaned and straightened. LPA conducted interviews with parents, parent of day care children have no concern with regards to cleanliness of the facility and parents are comfortable that their children are/were safe under the care of licensee.

Continued on 9099 C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2019

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-20190515083328

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: ADAM FAMILY CHILD CARE	FACILITY NUMBER: 426212147
	VISIT DATE: 08/05/2019

NARRATIVE

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It was alleged that a play yard was used for napping by multiple children. LPA interviewed Licensee and assistant on two different occasions. Licensee stated that licensee asked parent of Child #1 to bring a play yard for Child # 1. Parent of Child # 1 observed that another child was using the crib parent of Child # 1 brought. Interview with licensee and assistant revealed that there was one time, licensee was carrying Child # 1 while waiting for the Child # 1's parent. Child (infant) # 5 was placed in the pack and play not to be run over by older children while the assistant was preparing lunch. LPA interviewed parents of day care children and none of the parents corroborated to the allegation. Parents have no issue on the crib used by their children. Licensee stated that licensee washes the beddings, sheets, comforter used by day care children on a daily basis.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

No deficiency was cited.

Appeal Rights Given.

LPA observed Licensee posted Notice of Site Visit.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2019

LIC9099 (FAS) - (06/04)

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