566208929-4-15-2022-17-CC-GMIE-CDTV7C-20220425161052

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 566208929
Report Date: 03/23/2022
Date Signed: 04/15/2022 08:12:35 AM

Substantiated

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
03/11/2022 and conducted by Evaluator Dean Thompson

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20220311091622

FACILITY NAME:	TINY TOT PRESCHOOL & KINDERGARTEN		FACILITY NUMBER:	566208929
ADMINISTRATOR:	GINA LYON		FACILITY TYPE:	850
ADDRESS:	1680 PATRICIA AVE.		TELEPHONE:	(805) 526-1959
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93065
CAPACITY:	59	CENSUS: 37	DATE:	03/23/2022
		UNANNOUNCED	TIME BEGAN:	02:05 PM
MET WITH:	Claudia Velasquez		TIME COMPLETED:	02:40 PM

ALLEGATION(S):

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- Daycare child hits other daycare children.
- Daycare child scratches other children in care.
- Daycare child pulls other daycare children by the hair.

INVESTIGATION FINDINGS:

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This is an amendment of report issued on 4/8/2022 to obtain signature.

On 4/8/22 at 10:34 AM, Licensing Program Analyst (LPA) Dean Thompson made an unannounced inspection regarding the above allegations. LPA Thompson met with Director Claudia Velasquez and informed her the purpose of the inspection as well as delivering the findings of the complaint investigation. Prior to entering the facility, LPA asked pre-screening questions related to COVID-19. Responses suggest no COVID exposure on site. LPA conducted a tour of the facility inside and outside. LPA observed 39 children in care by 6 staff at the time of the inspection

Investigation included interviewing the Site Director, staff interviews, Parent interviews and reviewing Children files. LPA obtained a roster of children in care along with parent contact information.

Continued on LIC-809C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022

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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Control Number 17-CC-20220311091622

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: TINY TOT PRESCHOOL & KINDERGARTEN	FACILITY NUMBER: 566208929
	VISIT DATE: 03/23/2022

NARRATIVE

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Reporting party stated
- Daycare child hits other daycare children.
- Daycare child scratches other children in care.
- Daycare child pulls other daycare children by the hair.

Director acknowledge the allegation were in fact true. Director stated C1 has behavioral issues and has communicated with the guardian of C1. Director stated staff has been keeping C1 closer to them to try and stop altercation between C1 and other children from happening.

Four staff interviews were conducted and LPA determined all staff present knew the protocol and what to do when a child is injured. It was also determined by LPA, when staff has a child with behavioral issues, they provide extra care, sometimes one on one training, and notify parents.

File records reviewed by LPA, determined children incidents were being documented and discussed with parents. File records reviewed, determined C1 had an altercation with C2 on 1/27/2022, which ended with C2 having a scratch on the back of the neck. File records also determined C1 had an altercation with C3, which C3 ended with a scratch on the chest.

Three parent Interviews were conducted and it was determined by LPA, all parents felt the care and supervision was wonderful and did not have any issues. One parent also expressed her child has autism and the staff has proven to be more involved.

LPA observed staff were in compliance with Teacher-Child Ratio on 3/16/2022, 3/23/2022, and 4/8/2022. LPA determined staff were in compliance during the altercations that involved C1 and were observant but couldn't react quick enough to prevent the altercations from happening.

Based on LPAs 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.

A Technical Violation was issued today for the above allegations. No deficiencies were issued.

SUPERVISOR'S NAME: George Mingle
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022

LIC9099 (FAS) - (06/04)

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