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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 561701236
Report Date: 05/18/2020
Date Signed: 05/19/2020 01:28:39 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
02/21/2020 and conducted by Evaluator Jill M Hazelhofer-Laxo
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20200221113931
FACILITY NAME:FIRST UNITED METHODIST PRESCHOOL & CHILD CARE C.FACILITY NUMBER:
561701236
ADMINISTRATOR:AUTUMN MCGUIREFACILITY TYPE:
850
ADDRESS:1338 EAST SANTA CLARA STREETTELEPHONE:
(805) 653-5304
CITY:VENTURASTATE: CAZIP CODE:
93001
CAPACITY:61CENSUS: 0DATE:
05/18/2020
UNANNOUNCEDTIME BEGAN:
04:40 PM
MET WITH:Autumn McGuireTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Facility staff failed to prevent children from being bit by another child in care
INVESTIGATION FINDINGS:
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On 05/18/2020, at 4:40 p.m., Licensing Program Analyst (LPA) Jill Laxo initiated a teleconference with Director Autumn McGuire to conclude the complaint investigation. Due to COVID-19 the facility is closed and not operating. The nature and purpose of the inspections was discussed.

The investigation included one unannounced inspection, interviews with Director, staff, and parents. Record review included pertinent documents, staff and parent handbook. Interviews with parents of children enrolled, Director and staff confirm a child at the facility did bite several of the other children in the classroom. The biting took place within the classroom and also outside on the play ground while children were supervised. A biting policy was developed and implemented and extra staff were placed in the classroom to help reduce biting incidents.

Based on LPA's observations, interviews which were conducted, documents gathered and/or record review(s), the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED. Pursuant to Title 22 of the California Code of Regulations, the following deficiency was cited (refer to LIC 9099-D).

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2020
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 4
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
02/21/2020 and conducted by Evaluator Jill M Hazelhofer-Laxo
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20200221113931

FACILITY NAME:FIRST UNITED METHODIST PRESCHOOL & CHILD CARE C.FACILITY NUMBER:
561701236
ADMINISTRATOR:AUTUMN MCGUIREFACILITY TYPE:
850
ADDRESS:1338 EAST SANTA CLARA STREETTELEPHONE:
(805) 653-5304
CITY:VENTURASTATE: CAZIP CODE:
93001
CAPACITY:61CENSUS: 0DATE:
05/18/2020
UNANNOUNCEDTIME BEGAN:
04:40 PM
MET WITH:Autumn McGuireTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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9
Facility staff are failing to provide a safe environment for the children.
INVESTIGATION FINDINGS:
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05/18/2020, at 4:40 p.m., Licensing Program Analyst (LPA) Jill Laxo initiated a teleconference with Director Autumn McGuire to conclude the complaint investigation. Due to COVID-19 the facility is closed and not operating. The nature and purpose of the inspections was discussed.

The investigation included one unannounced inspection, interviews with Director, parents and staff. Record review included pertinent documents, incident reports, children files, and staff and parent handbooks. Interviews with current and past parents of children enrolled, and staff did not corroborate the allegation that Facility staff are failing to provide a safe environment for the children.

Additional staff was added to the classroom to help ensure children were not bitten. In addition the facility put in place a plan for families to receive extra guidance and tools from the Step Up Program. Facility staff intervenes to protect children from harm and have been continuously working with children and parents to prevent disruptive behavior. The Director provided LPA a copy of the center's policies regarding biting.

The Department has not found evidence to support the allegation that the facility does not provide a safe environment. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did nor did not occur therefore the allegation is Unsubstantiated.

An Exit interview was conducted with Autumn McGuire, via teleconference. This report will be sent to the Director via email with a read receipt or confirmation of receipt of email, Director will sign and return via email to LPA Laxo.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2020
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-20200221113931
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 UNITED METHODIST PRESCHOOL & CHILD CARE C.
FACILITY NUMBER: 561701236
VISIT DATE: 05/18/2020
NARRATIVE
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An Exit interview was conducted with Autumn McGuire, via teleconference, during which appeal rights were explained. This report along with a copy of the appeal rights and Notice of Site Visit will be sent to the Director via email with a read receipt or confirmation of receipt of email, Director will sign and return via email to LPA Laxo. Licensee is to post the LIC 9213 Notice of Site Visit for 30 days.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 17-CC-20200221113931
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 UNITED METHODIST PRESCHOOL & CHILD CARE C.
FACILITY NUMBER: 561701236
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/18/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/18/2020
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement was not met as evidenced by:
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Director will ensure the biting policy guidelines in place are followed, and all authorized individuals of children in care are aware of the implementation and adhere to the policy.
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Based on record review and interviews the licensee did not maintain the written biting policy procedure and guidelines for the child care center which poses a potential Health, Safety or Personal Rights risk to the children in care.
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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: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2020
LIC9099 (FAS) - (06/04)
Page: 4 of 4