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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566212881
Report Date: 12/21/2022
Date Signed: 12/21/2022 02:26:32 PM

Unsubstantiated


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
12/15/2022 and conducted by Evaluator Laura Villanueva
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20221215152400
FACILITY NAME:MARTON/LOPEZ FCC AKA CHERISHED MOMENTSFACILITY NUMBER:
566212881
ADMINISTRATOR:PAULA MARTON/SHELLIE LOPEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 982-0619
CITY:CAMARILLOSTATE: CAZIP CODE:
93012
CAPACITY:14CENSUS: 6DATE:
12/21/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Shellie LopezTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Licensee is not following proper COVID-19 protocols
Licensee did not prevent the spread of communicable diseases
Licensee did not report incidents to CCL
Licensee did not notify day care children's parents of COVID-19 positives
INVESTIGATION FINDINGS:
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On December 21, 2022 at 2:45 PM Licensing Program Analyst (LPA) Laura Villanueva conducted an unnanounced inspection to initiate the investigation for the above allegations. LPA met with Licensee, Shellie Lopez and explained the purpose for the inspection. 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 home inside and outside. LPA observed 6 children present at the time of the inspection with 2 staff.

LPA reviewed Licensee's LI624B unusual incident reports reporting dated 4/7/22, 5/13/22, 5/18/22 and 7/20/22 for reporting hand, foot, and mouth disease. On 5/27/22, Licensee reported a child with chicken pox.On 6/6/22, A Licensing Program Analyst contacted Licensee to follow-up with hand, foot and mouth disease. On 12/11/22, parents were informed the child care would be closed pending a negative COVID-19 test for Licensee and children. On 12/13/22, Licensee tested negative and again on 12/14/22 morning tested negative. Child care reopened on 12/14/22. Licensee asked parents to test children for COVID-19.

Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2022
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-20221215152400
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: MARTON/LOPEZ FCC AKA CHERISHED MOMENTS
FACILITY NUMBER: 566212881
VISIT DATE: 12/21/2022
NARRATIVE
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before returning to the child care on 12/14/22. All children who returned submitted a negative COVID-19 test to Licensee. LPA provided Licensee with PIN 2-28-CCP-Updates to the California Department of Public Health.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2022
LIC9099 (FAS) - (06/04)
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