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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566206992
Report Date: 06/19/2019
Date Signed: 06/19/2019 01:23:30 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:LAS POSAS CHILDREN'S CENTER @ CITRUS GLENFACILITY NUMBER:
566206992
ADMINISTRATOR:JULIE WOOLSEYFACILITY TYPE:
840
ADDRESS:9655 DARLING RD.TELEPHONE:
(805) 647-3631
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY:166CENSUS: 132DATE:
06/19/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:08 PM
MET WITH:BobTIME COMPLETED:
01:40 PM
NARRATIVE
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Licensing Program Analyst (LPA) Francisco Pedroza conducted a Case Management inspection and met with Licensee, Bob Alfino and Robert Holmes. A tour of the facility was conducted by LPA with facility staff. The facility had 132 children in care at the time of the inspection.

At approximately 9:15 am, LPA was interviewing facility staff regarding a complaint the facility received. During the interview staff confirmed two incidents that occurred at the facility. One incident was regarding a child being restrained with their hands behind their back by another child and had their face forced into a restroom urinal. The child was then forced to smell the urinal. Incident was part of the complaint investigation. The second incident occurred another day with the same child where they sustained a head injury. It was not determined whether incident occurred at the elementary school or at the facility. Facility staff advised they noticed the child was showing signs. Facility addressed the child's needs and contacted their parents. Child had vomited when they were going home. The incident happened on a Friday. Later that weekend the child was taken and diagnosed with a possible concussion. Facility staff were informed by the parent about the incident the following Monday. Facility staff failed to contact licensing and inform them of both incidents. LPA provided licensee with documentation regarding reporting requirements.

The following CCR, Title 22, Division 12 regulation was cited: 101212(d)(1)(B). Reporting Requirements.

One type B deficiency was cited today:

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LAS POSAS CHILDREN'S CENTER @ CITRUS GLEN
FACILITY NUMBER: 566206992
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/28/2019
Section Cited
CCR
101212(d)(1)(B)
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101212 Reporting Requirements
(d) Upon the occurrence, during the operation of the child care center of any of the events ... following the occurrence of such event.
(1) Events reported shall include the following:
(B) Any injury to any child that requires medical treatment.
This requirement is not met as evidence by:
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Licensee advised site supervisor will be required to attend orientation for Child Centers held on 08/09/2019. Licensee will submit a written plan advising how they will ensure children's personal rights are not violated and ensure the environment is safe. Submit the written plan to CCL by 6/28/19.
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Licensee failed to report the incidents to Community Care Licensing (CCL). One incident the child required medical services. This poses a potential Health and Safety risk to clients / 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: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2019
LIC809 (FAS) - (06/04)
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