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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566211203
Report Date: 02/19/2020
Date Signed: 03/13/2020 03:41:45 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
12/16/2019 and conducted by Evaluator Laura Villanueva
COMPLAINT CONTROL NUMBER: 17-CC-20191216145726
FACILITY NAME:MULLER FAMILY CHILD CAREFACILITY NUMBER:
566211203
ADMINISTRATOR:SUSANA MULLERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 382-1739
CITY:OXNARDSTATE: CAZIP CODE:
93035
CAPACITY:14CENSUS: 4DATE:
02/19/2020
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Susana MullerTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Provider handled daycare child in a rough manner
Provider yelled at daycare children
Provider intentionally interrupted daycare child’ssleep
Provider made inappropriate comment(s) to daycare children
INVESTIGATION FINDINGS:
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AMENDED REPORT FROM VISIT CONDUCTED ON 2/19/20.
On February 19, 2020 at 12:45 PM Licensing Program Analyst (LPA) Laura Villanueva made an unannounced visit to conclude complaint investigation for the above allegations. LPA explained the purpose of the visit to Licensee. Licensee and LPA toured the home together. On 12/18/19, LPA made an unannounced visit to the home and interviewed Licensee. Licensee admitted to the allegations. Licensee had children sleeping during the night when the incident occurred. C1 got out of bed and turned up the heater thermostat which made the house feel hot. Licensee became frustrated and went to the bedroom where C1 and C2 were sleeping. Licensee confronted C1 about the heater and pulled her out of bed by the arm. C1 called Licensee a name and Licensee responded with inappropriate language. Licensee admitted to waking C1 up. C1 ran into the bathroom and locked herself in. Licensee pounded on the door and yelled at C1 to come out. Licensee was remorseful about her behavior saying that she had not lost control like that before. Type A citattions are being issued for the violation of a child's rights in child care.
Continued on 9099C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
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 6
Control Number 17-CC-20191216145726
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: MULLER FAMILY CHILD CARE
FACILITY NUMBER: 566211203
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
HSC
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7
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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: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

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

DATE:
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 17-CC-20191216145726
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: MULLER FAMILY CHILD CARE
FACILITY NUMBER: 566211203
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
HSC
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7
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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: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

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

DATE:
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 17-CC-20191216145726
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: MULLER FAMILY CHILD CARE
FACILITY NUMBER: 566211203
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/18/2020
Section Cited
HSC
102423(a)(4)
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AMENDED FROM 2/19/20 REPORT
102423 Personal Rights (a)(4). (a) Each child receiving services ... certain rights that shall not be waived...(4)To be free
from corporal punishment... interference
wiith sleeping. This requirement was not met
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Licensee and her assistant attended a Family Child Care Orientation on 9/12/19. Licensee will come to the Santa Barbara Regional Office for a non-compliance conference. Licensee will provide a written
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as evidenced by:
Based on interviews Licensee pulled C1 by the arm out of bed and interrupted her sleep which poses an immediate health, safety or personal rights risk to children in care.
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statement of how she will ensure the personal rights of children in care at all times to the department by 3/18/20.
Type A
03/18/2020
Section Cited
HSC
102423(a)(1)
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102423 Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived....(1) To be treated with dignity in his or her relationship with staff and other persons. This requirement was not met as eividenced by:
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Licensee and her assistant attended a Family Child Care Orientation on 9/12/19. Licensee will come to the Santa Barbara Regional Office for a non-compliance conference. Licensee will provide a written
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Based on interviews Licensee called C1 a "retard" and yelled at her which poses an immediate health, safety or personal rights risk to children in care.
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statement of how she will ensure the personal rights of children in care at all times.to the department by 3/18/20.
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: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 17-CC-20191216145726
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: MULLER FAMILY CHILD CARE
FACILITY NUMBER: 566211203
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
CCR
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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: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

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

DATE:
LIC9099 (FAS) - (06/04)
Page: 6 of 6
Control Number 17-CC-20191216145726
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: MULLER FAMILY CHILD CARE
FACILITY NUMBER: 566211203
VISIT DATE: 02/19/2020
NARRATIVE
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Amended report for the visit conducted on 2/19/20.

Based on LPA's findings the allegations are deemed Substantiated – “Based on LPAs observations and interviews which were conducted and record reviews (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), are being cited on the attached LIC 9099D.”)

Appeal rights given with a copy of the report. Visit was conducted in Spanish.

Upon receipt of this report, licensee shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report LIC 9099 and LIC 9099 D.


THIS REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 6