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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 561712033
Report Date: 05/22/2020
Date Signed: 05/22/2020 05:10:25 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
02/27/2020 and conducted by Evaluator Michael Avila
COMPLAINT CONTROL NUMBER: 17-CC-20200227094509
FACILITY NAME:CDI - SOUTH OXNARD CHILD DEVELOPMENT CENTERFACILITY NUMBER:
561712033
ADMINISTRATOR:RACHEL CHAMPAGNEFACILITY TYPE:
850
ADDRESS:200 E. BARD RD.TELEPHONE:
(805) 488-2214
CITY:OXNARDSTATE: ZIP CODE:
93033
CAPACITY:148CENSUS: 57DATE:
05/22/2020
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Amber WilliamsTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Child's food was thrown in trash by staff.
Child was handled roughly.
INVESTIGATION FINDINGS:
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Allegation deemed UNSUBSTANTIATED. Investigation includes staff interviews and LPA observations.

On May 22, 2020 at 10:30 AM, Licensing Program Analyst (LPA) Michael Avila made an unannounced telephone call to conclude a complaint investigation. LPA called Director Amber Williams and advised her the purpose of the inspection. LPA advised Licensee that due to COVID-19 and Department of Public Health (DPH) guidelines of social distancing, a tele-inspection was conducted.

Allegation asserts a child's food was thrown away and the child was roughly picked up to take a nap. LPA observed lunch is provided by the facility. After lunch, children proceed to take a nap. Any food that is not eaten is thrown away. Staff interviews support that although staff should not pick up children, on occasion, staff need to pick up the childen that fall asleep at the table after eating lunch.

Based on the interviewed with staff and LPAs observation on the site, although the allegations may have happened or are valid, there is not a preponderance evidence to prove the alleged violation(s) did or did not occur, therefore, the allegations are deemed UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2020
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 2
Control Number 17-CC-20200227094509
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: CDI - SOUTH OXNARD CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 561712033
VISIT DATE: 05/22/2020
NARRATIVE
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A copy of this report was reviewed and provided to the Licensee. Licensee agreed to receive a copy of report via email and voiced understanding that the read receipt confirmation from email will be in lieu of her signature once she received the report.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2