561701182-9-12-2022-17-CC-GMIE-CJ83CV-20220912180830

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 561701182
Report Date: 09/12/2022
Date Signed: 09/12/2022 04:41:15 PM

Unsubstantiated

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
06/08/2022 and conducted by Evaluator Betzayra Cervantes

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20220608130355

FACILITY NAME:	FIRST BAPTIST CHURCH DAY CARE AND PRESCHOOL		FACILITY NUMBER:	561701182
ADMINISTRATOR:	SHARON (SHARI) CLEGG		FACILITY TYPE:	850
ADDRESS:	1250 ERBES ROAD		TELEPHONE:	(805) 495-6530
CITY:	THOUSAND OAKS	STATE: CA	ZIP CODE:	91362
CAPACITY:	78	CENSUS: 42	DATE:	09/12/2022
		UNANNOUNCED	TIME BEGAN:	02:25 PM
MET WITH:	Sharon Clegg		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Pastor yelling infront of children and staff
Pastor creating a hostile enviornment
Facility changed/forged child's file documents

INVESTIGATION FINDINGS:

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On September 12, 2022 at 2:25 PM, Licensing Program Analyst (LPA) Betzayra Cervantes made an unannounced inspection to conclude the investigation of the above allegation(s). LPA met with Director Sharon Clegg and explained the purpose of the inspection. LPA asked the Director screening questions related to COVID 19. Director’s response indicates there are no COVID 19 exposures on site. LPA toured the facility with the Assistant Director both inside and outside. LPA observed 42 children under the care and supervision of 7 staff at the time of the inspection.

Allegation stated, "Pastor yelling in front of children and staff," and “Pastor creating a hostile environment.” Investigation included two unannounced inspections, interviews with current and past parents, staff interviews, and record review. Licensee denied the allegation. Parents interviewed did not corroborate the allegations and expressed satisfaction with the care and supervision provided by this facility.

CONT ON LIC-9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra Cervantes	TELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022

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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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
06/08/2022 and conducted by Evaluator Betzayra Cervantes

COMPLAINT CONTROL NUMBER: 17-CC-20220608130355

FACILITY NAME:	FIRST BAPTIST CHURCH DAY CARE AND PRESCHOOL		FACILITY NUMBER:	561701182
ADMINISTRATOR:	SHARON (SHARI) CLEGG		FACILITY TYPE:	850
ADDRESS:	1250 ERBES ROAD		TELEPHONE:	(805) 495-6530
CITY:	THOUSAND OAKS	STATE: CA	ZIP CODE:	91362
CAPACITY:	78	CENSUS: 42	DATE:	09/12/2022
		UNANNOUNCED	TIME BEGAN:	02:25 PM
MET WITH:	Sharon Clegg		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Facility failed to report unusual incident involving Police

INVESTIGATION FINDINGS:

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On September 12, 2022 at 2:25 PM, Licensing Program Analyst (LPA) Betzayra Cervantes made an unannounced inspection to conclude the investigation of the above allegation(s). LPA met with Director Sharon Clegg and explained the purpose of the inspection. LPA asked the Director pre-screening questions related to COVID 19. Director’s response indicates there are no COVID 19 exposures on site. LPA toured the facility with Assistant Director inside and outside. LPA observed 42 children under the care and supervision of 7 staff at the time of the inspection.

Allegation stated, "Facility failed to report unusual incident involving Police," Investigation included two unannounced inspections, interviews with current and past parents, staff interviews, and record review. Director revealed during interview that CCL was notified via phone of the unusual incident where facility called the police on 05/05/2022. However, facility did not submit a written Unusual Incident Report to the Department within 7 business days of the incident.

Based on LPAs observations, record reviews and interviews, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED.

A technical violation LIC9102 was issued to licensee for reporting requirements of unusual incident reports. Exit interview was conducted and report was reviewed with Director, Sharon Clegg.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra Cervantes	TELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 17-CC-20220608130355

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: FIRST BAPTIST CHURCH DAY CARE AND PRESCHOOL	FACILITY NUMBER: 561701182
	VISIT DATE: 09/12/2022

NARRATIVE

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Allegation stated, “Facility changed/forged child's file documents.” Licensee denied the allegations. Parents interviewed did not corroborate the allegations and expressed satisfaction with the care and supervision provided by this facility. Although these allegations may have occurred, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore, the allegations listed above are deemed UNSUBSTANTIATED.

Exit interview was conducted with the Director, Sharon Clegg during which time appeal rights were explained.

This report and appeal rights and Notice of Site Visit (LIC9213) were provided.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra Cervantes	TELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022

LIC9099 (FAS) - (06/04)

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