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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566210209
Report Date: 07/17/2019
Date Signed: 07/17/2019 12:19:27 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
04/16/2019 and conducted by Evaluator Ana Tolentino
COMPLAINT CONTROL NUMBER: 17-CC-20190416105231
FACILITY NAME:CDR - BERYLWOOD HEAD START CENTERFACILITY NUMBER:
566210209
ADMINISTRATOR:SUZANNE GODINEZFACILITY TYPE:
850
ADDRESS:2300 HEYWOOD ST.TELEPHONE:
(805) 583-3775
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY:43CENSUS: 0DATE:
07/17/2019
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Lizz Alund-Early Childhood Development Manager and Cyndy Ayala Childhood Development Assistant ManagerTIME COMPLETED:
09:45 AM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Staff failed to protect day-care child from being bullied
Staff failed to prevent child from being injured by another child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Manager (LPM) Ana Tolentino met with Cyndy Ayala and Lizz Alund at the CDR Central Office in Oxnard, to conclude a Complaint Investigation, due to Berylwood Headstart Center currently closed during the summer. The purpose of the visit was discussed.
Investigation included interviews with staff and parents of children enrolled in the day-care. Allegations stated, “Staff failed to protect day-care children from being bullied and staff failed to prevent child from being injured by another child”.
Interviews with staff indicate staff never observed any bullying among any preschool children in care. Staff also indicated, anytime any minor ouch or unusual incident occurs the staff informs the parents and provide written documentation. Staff denied witnessing Child#1 or any child in care being bullied. Interviews with the parents of children in care did not corroborate with the above allegations. Some parents stated they volunteer in the classroom and are happy with the care and supervision provided by the staff.

Although these allegations may have occurred, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore these allegations are deemed UNSUBSTANTIATED.







Unsubstantiated
Estimated Days of Completion: 90
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Ana TolentinoTELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019
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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