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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 561701236
Report Date: 03/30/2022
Date Signed: 03/30/2022 01:56:44 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
01/05/2022 and conducted by Evaluator Sylvia Mendoza-Ceja
COMPLAINT CONTROL NUMBER: 17-CC-20220105123742
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: 43DATE:
03/30/2022
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Autumn McGuireTIME COMPLETED:
02:05 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Facility is not enforcing the wearing of masks
INVESTIGATION FINDINGS:
1
2
3
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5
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7
8
9
10
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12
13
Licensing Program Analyst (LPA) S. Mendoza-Ceja conducted an unannounced inspection to conclude the complaint. The complaint was initiated on January 12, 2022. The investigation included obtaining the child care roster, obtaining complainant's statement, interviewing Director, and some of the parents of children in care
-Complainant was not available for additional information.
- Parents interviewed indicated they are satisfied with the care and supervision their children receive. Parents also stated they provided a mask for their children. Parent interviews did not corroborate complainant's allegation.
- Director stated the children were encouraged to wear a mask indoors. The only time the children did not wear a mask was when they are napping and when they are on the playground.

The allegation is unsubstantiated, based on LPA's interviews with Director and parents of children in care. Although the allegation may have occurred, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore, the allegation listed above is deemed UNSUBSTANTIATED.
Exit interview was conducted with the Director during which time appeal rights were explained.
This report and appeal rights and Notice of Site Visit (LIC9213) were provided.
Unsubstantiated
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: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022
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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