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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 561702446
Report Date: 07/10/2019
Date Signed: 07/10/2019 12:51:26 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
04/26/2019 and conducted by Evaluator Jill M Hazelhofer-Laxo
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20190426101253
FACILITY NAME:NOAH'S ARK CHRISTIAN PRESCHOOL & CHILD CARE CENTEFACILITY NUMBER:
561702446
ADMINISTRATOR:MONICA HAYESFACILITY TYPE:
850
ADDRESS:120 CHURCH ROADTELEPHONE:
(805) 646-8745
CITY:OJAISTATE: CAZIP CODE:
93023
CAPACITY:84CENSUS: 33DATE:
07/10/2019
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Monica HayesTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff handled day care child in a rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jill Laxo made an unannounced inspection to complete a complaint investigation initiated on 05/02/2019 control no.17-CC-2019-0426101253. LPA met with Director Monica Hayes and explained the purpose of the inspection.

On 07/10/2019. during nap time LPA observed 7 staff supervising 33 children in three classrooms. The above allegation stated the facility staff handled a day care child in a rough manner. During this investigation, LPA made two unannounced visits and toured the facility on each visit. Information was gathered from LPA's observations, staff and parent interviews. Although the allegations 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 deemed Unsubstantiated.

LPA observed "Notice of Site Visit" posted.

There were no deficiencies cited on today's visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019
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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