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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566207599
Report Date: 03/04/2020
Date Signed: 03/04/2020 10:07:29 AM



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
01/31/2020 and conducted by Evaluator Jill M Hazelhofer-Laxo
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20200131155808
FACILITY NAME:ORTIZ FCC AKA OCEAN STAR FAMILY DAY CARE, INCFACILITY NUMBER:
566207599
ADMINISTRATOR:CELIA ORTIZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 208-2136
CITY:PORT HUENEMESTATE: CAZIP CODE:
93041
CAPACITY:14CENSUS: 2DATE:
03/04/2020
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Celia OrtizTIME COMPLETED:
10:25 AM
ALLEGATION(S):
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Operating beyond the limitations of the license ratio.
INVESTIGATION FINDINGS:
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On 03/04/2020, at 9:05 a.m. Licensing Program Analyst (LPA) Jill Laxo conducted an unannounced inspection for the purpose of concluding a complaint investigation into the above allegation. LPA met with Licensee Celia Ortiz and discussed the nature and purpose of the inspection. Licensee had two children in care.
The investigation included two unannounced inspections, licensee and complainant interviews, and record review. On 02/06/2020, LPA performed a record review of the October attendance sheets for children in care, which established that the licensee had operated beyond the limitations of her license. The licensee interview conducted on 02/07/2020, and complainant interview conducted on 02/06/2020, determined the Family Child Care Home was out of ratio during the month of October. The evidence gathered determined that during after school pick up and afternoon drop off the licensee and assistants cared for 15 to 16 children from 3:00 p.m. until 3:29 p.m.
Based on LPA’s observations, interviews and record review, the preponderance of evidence standard has
been met; therefore, the above allegation is found to be SUBSTANTIATED California Code of Regulations,
(Title 22, Division 12 & Chapter 1), are being cited on the attached 9099D.
An exit interview was conducted with licensee Celia Ortiz and Plans of Correction were developed. A copy of this report and appeal rights were discussed and provided to licensee whose signature on this form confirms receipt of these documents.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020
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-20200131155808
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: ORTIZ FCC AKA OCEAN STAR FAMILY DAY CARE, INC
FACILITY NUMBER: 566207599
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/04/2020
Section Cited
CCR
102416.5(a)
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102416.5 Staffing Ratio and Capacity
(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement is not met as evidenced by:

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Licensee advised parents that the time for pick up and drop off for after school care would be adjusted so there would be no more than 14 children in care at one time. Parents were advised to fill out time sheets with the exact time that children are in care.
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Based on record review and interviews the licensee did not adhere to the maximum capacity criteria for a large family child care home license, which poses a potential Health, Safety or Personal Rights risk to the 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: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2