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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566206992
Report Date: 06/19/2019
Date Signed: 06/19/2019 01:29:38 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
06/11/2019 and conducted by Evaluator Francisco Pedroza
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20190611125926
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
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:BobTIME COMPLETED:
12:07 PM
ALLEGATION(S):
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Personal Rights - Facility staff failed to prevent a child from being bullied.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Francisco Pedroza made an unannounced visit for the purpose of initiating a complaint investigation into the above allegation. LPA met with Bob Alfino and Robert Holmes and discussed the nature of the visit. LPA toured the facility accompanied with staff. LPA conducted interview with staff.

Allegation stated the facility staff failed to prevent a child from being bullied. During this investigation, LPA made one unannounced visit and interviewed staff. It was confirmed by staff interview that child # 2 was aggressively restrained with his hands behind his back by child #3 and had their face forced into a restroom urinal. Child #2 was then required to smell the urinal by child #3.

Facility staff acknowledged the incident had occurred and advised how they have addressed the issue with the children involved. Children parents were contacted and informed of the incident. A plan was created prior to LPA arrival ensure children safety and needs are met. Facility staff have been working with children involved in the incident and their parents. Continued on 9099C

Substantiated
Estimated Days of Completion:
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.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 17-CC-20190611125926
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: 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 A
06/28/2019
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(1) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation ...withholding of shelter, clothing, medication or aids to physical functioning.
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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Based on interviews conducted, the licensee failed to ensure the child's personal rights were not violated. The child was restrained by another and hand their face forced in to a restroom urinal. This poses an immediate 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
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 17-CC-20190611125926
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: LAS POSAS CHILDREN'S CENTER @ CITRUS GLEN
FACILITY NUMBER: 566206992
VISIT DATE: 06/19/2019
NARRATIVE
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Based on LPA's observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number 1), are being cited on the attached LIC 9099D.

Licensee provided appeal rights and copy of regulation cited.
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
LIC9099 (FAS) - (06/04)
Page: 2 of 3