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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426215725
Report Date: 04/18/2022
Date Signed: 04/18/2022 12:24:59 PM

Substantiated


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
01/18/2022 and conducted by Evaluator Sylvia Mendoza-Ceja
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20220118104828
FACILITY NAME:VILLALBA FCC AKA LOTS OF LOVE DAYCAREFACILITY NUMBER:
426215725
ADMINISTRATOR:XIMENA L. VILLALBAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 658-6222
CITY:SANTA BARBARASTATE: CAZIP CODE:
93103
CAPACITY:14CENSUS: 5DATE:
04/18/2022
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Ximena VillalbaTIME COMPLETED:
12:35 PM
ALLEGATION(S):
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Daycare child sustained a fracture while in care
INVESTIGATION FINDINGS:
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On 04/18/2022 at 11:45 AM, Licensing Program Analyst (LPA) S. Mendoza-Ceja conducted an unannounced inspection to conclude the complaint. The complaint was initiated on January 25, 2022. The investigation included obtaining the child care roster, complainant's statement and medical/payment documentation; interviewing licensee and her assistant, including reviewing the incident report documented on 05/24/2019 and the Unusual Incident Report received 05/28/2022 from licensee. Interviews were also conducted with current and former parents of children in care.

Complainant indicated the licensee has a large dog and their condition or agreement for child #12 to attend the day care was the dog would not be near child #12. On May 23, 2019, child #12 was playing with the dog in the backyard and she fell and injured her arm.

Licensee stated child #12 was running with the dog playing and child #12 stumbled on a toy. Licensee stated she administered first aid and applied ice to the injury, and child #12 continued to play. Licensee stated the dog is very relaxed, doesn’t jump on children, very gentle, and helps calm and is supportive with the children. Licensee explained to parent how child #12 stumbled over a toy in the yard. Licensee stated the dog is in the doggie day care 2 days a week.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2022
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-20220118104828
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: VILLALBA FCC AKA LOTS OF LOVE DAYCARE
FACILITY NUMBER: 426215725
VISIT DATE: 04/18/2022
NARRATIVE
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Assistant stated, parents are aware the dog "golden retriever" is part of the day care. Assistant stated the dog is only at the day care 2 days a week and in doggie day care 3 days a week. Assistant also provided copies of the the dog's animal support certification and picture of her dog.

Interviews with current/former parents of the day care children did not have any concerns regarding the dog. Parents stated they are satisfied with the care their children receive while in care.

Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Child #12 sustained a fracture. However, there is no evidence to support the child sustained an injury as a result of the dog.


No deficiencies were cited during today's visit. Appeal Rights were reviewed.
An exit interview was conducted.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2