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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426215013
Report Date: 11/09/2021
Date Signed: 11/09/2021 05:00:14 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
08/24/2021 and conducted by Evaluator Elvin Baddley
COMPLAINT CONTROL NUMBER: 17-CC-20210824094007
FACILITY NAME:WARD FCC AKA LIL SAFARI CHILD CAREFACILITY NUMBER:
426215013
ADMINISTRATOR:ASHLEY WARDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 354-3469
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:14CENSUS: DATE:
11/09/2021
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:TIME COMPLETED:
05:00 PM
ALLEGATION(S):
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1. Provider not present 80% of the time
2. Diaper not properly put on daycare child
INVESTIGATION FINDINGS:
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On 11/9//21, at 3:00 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced inspection to deliver the findings for a Complaint pertaining to the abovementioned allegations. LPA met with Cindy Soqui, Licensee's Assistant/Parent, and advised her of the purpose of the inspection. It should be noted LPA observed four children on site.

The investigation included record reviews, interviews with parents, children as well as the Assistant. As noted above the specific allegations of the Complaint is with regard the Licensee not being present at the CCC 80% of the time and diapers not being properly put on day care children.

During the course of interviews, LPA was informed Licensee is rarely seen at the facility. This was collaborated by parents of children in care. Likewise, diapers not being properly put on day care children was collaborated by parents and children in care.
(CONT. 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
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 5
Control Number 17-CC-20210824094007
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: WARD FCC AKA LIL SAFARI CHILD CARE
FACILITY NUMBER: 426215013
VISIT DATE: 11/09/2021
NARRATIVE
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Based on LPAs observation and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation, (Title 22 Division 12 and 101223(a)(1), is being cited on the attached LIC 9099 D).

A closing interview was conducted with Assistant. Assistant was provided and advised of their right to appeal. A copy of this report was reviewed and provided to the Assistant.

The Notice of Site Visit was also provided to the Administrator as required by H&S Code Section 1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 17-CC-20210824094007
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: WARD FCC AKA LIL SAFARI CHILD CARE
FACILITY NUMBER: 426215013
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/16/2021
Section Cited
CCR
102417(a)
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102417 (a) Operation of a Family Child Care Home-The licensee shall be present in the home ...Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
This requirement was not met as evidence by the Licensee being temporary absent from the facility over 20 percent of the
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Licensee to outline a plan to eliminate the occurrence of .being temporary away from the facility over 20 percent of the hours the facility is providing care.
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hours the facility is providing care.
This poses a potential health, safety or personal rights risks to persons in care.
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Type B
11/16/2021
Section Cited
CCR
102423(2)
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102423 (2) Personal Rights-To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
This reqiuremet was not met as evidence by children not having diapers properly changed or outfitted.
This poses a potential health, safety or personal rights risks to persons in care.
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Licensee to outline a plan to ensure children in care are properly outfitted with diapers and changed accordingly.
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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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5