426215611-12-8-2021-17-CC-ATOO-C9ZVBD-20211224151723

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 426215611
Report Date: 12/08/2021
Date Signed: 12/08/2021 09:42:44 AM

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
09/28/2021 and conducted by Evaluator Austin Rios

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20210928141245

FACILITY NAME:	ISLA VISTA CHILDREN'S CENTER		FACILITY NUMBER:	426215611
ADMINISTRATOR:	ERIKA MALDONADO		FACILITY TYPE:	830
ADDRESS:	701-H WEST CAMPUS POINT LANE		TELEPHONE:	(805) 968-0488
CITY:	GOLETA	STATE: CA	ZIP CODE:	93117
CAPACITY:	12	CENSUS: 12	DATE:	12/08/2021
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Erika Maldonado		TIME COMPLETED:	09:51 AM

ALLEGATION(S):

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Facility staff did not take action to prevent the spread of an infection

INVESTIGATION FINDINGS:

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On December 8, 2021 at 9:00 AM Licensing Program Analyst (LPA) Austin Rios conducted an unannounced inspection to conclude a complaint investigation. LPA met with Director and explained the nature and the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were twelve children in care at the time of the inspection. The department obtained allegations that facility staff did not take action to prevent the spread of an infection.

Interviews were conducted with Complainant, Parents of children in care, staff, and LPA obtained documentation of Covid-19 protocol. After record review and conducting interviews, it was determined that staff did take action to prevent the spread of infections. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation is Unsubstantiated. Facility was given technical advisory for following State, County, and Federal Covid-19 guidelines.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin Rios	TELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2021

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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