566213572-6-3-2020-17-CC-GMIE-BQ9QZS-20200604123712

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 566213572
Report Date: 06/01/2020
Date Signed: 06/03/2020 11:22:24 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
03/10/2020 and conducted by Evaluator Francisco Pedroza

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20200310160616

FACILITY NAME:	VILLANUEVA FCC AKA KIDS WORLD		FACILITY NUMBER:	566213572
ADMINISTRATOR:	S, VILLANUEVA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 297-6005
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93065
CAPACITY:	14	CENSUS: 7	DATE:	06/01/2020
		UNANNOUNCED	TIME BEGAN:	11:04 AM
MET WITH:	Sylvia Villanueva		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Personal Rights - Licensee is placing two children in a crib

INVESTIGATION FINDINGS:

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On June 1, 2020 at 11:37 am, Licensing Program Analyst (LPA) Francisco contacted licensee Sylvia Villanueva via phone to conclude a complaint investigation. LPA explained the nature and purpose of the call to the licensee. Due to COVID-19 requirements and precautions, the inspection and final interview were conducted by a virtual tele-inspection. Licensee provided LPA a tour of the facility via Facetime. There was seven children in care at the time of the inspection.

Complaint received alleged the facility operates out of capacity, children’s diapers are changed, and the licensee has multiple children share a crib at the same time. Investigation included one unannounced inspection, one tele-inspection, interviews with current and past parents, and file reviews. Licensee and the parent of to two siblings confirmed that the siblings did sleep in the same crib during the first two weeks they were enrolled. The siblings were having issues adjusting to sleeping alone since they sleep together at home.

Continued on 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2020

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 4

Control Number 17-CC-20200310160616

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: VILLANUEVA FCC AKA KIDS WORLD	FACILITY NUMBER: 566213572
	VISIT DATE: 06/01/2020

NARRATIVE

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LPA confirmed the children’s parent requested that they be allowed to sleep together temporarily. The parent advised that it has not occurred since the initial two weeks when they started attending the day care.

Based on LPAs observations, 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. An advisory is being issued on the Attached LIC 9102. There were no deficiencies cited.

An exit interview was conducted with Sylvia Villanueva via tele-inspection. A copy of this report was reviewed and provided to the applicant. Applicant agreed to receive a copy of report via email and voiced understanding that the read receipt confirmation from email will be in lieu of her signature once she received the report. LPA requested licensee provide a signed copy of report.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 4

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
03/10/2020 and conducted by Evaluator Francisco Pedroza

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20200310160616

FACILITY NAME:	VILLANUEVA FCC AKA KIDS WORLD		FACILITY NUMBER:	566213572
ADMINISTRATOR:	S, VILLANUEVA		FACILITY TYPE:	810
ADDRESS:	222 ROYAL AVE.		TELEPHONE:	(805) 297-6005
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93065
CAPACITY:	14	CENSUS: 7	DATE:	06/01/2020
		UNANNOUNCED	TIME BEGAN:	11:04 AM
MET WITH:	Sylvia Villanueva		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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License - Facility is over capacity
Personal Rights - Children's diapers are not changed

INVESTIGATION FINDINGS:

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On June 1, 2020 at 11:37 am, Licensing Program Analyst (LPA) Francisco contacted licensee Sylvia Villanueva via phone to conclude a complaint investigation. LPA explained the nature and purpose of the call to the licensee. Due to COVID-19 requirements and precautions, the inspection and final interview were conducted by a virtual tele-inspection. Licensee provided LPA a tour of the facility via Facetime. There were seven children in care at the time of the inspection.

Complaint received alleged the facility operates out of capacity, children’s diapers are changed, and the licensee has multiple children share a crib at the same time. Investigation included one unannounced inspection, one tele-inspection, interviews with current and past parents, and file reviews. Parent(s) and licensee interviews did not corroborate with the above allegation(s). There was not enough evidence to determine if the allegation(s) occurred.

Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 17-CC-20200310160616

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: VILLANUEVA FCC AKA KIDS WORLD	FACILITY NUMBER: 566213572
	VISIT DATE: 06/01/2020

NARRATIVE

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Although the allegation(s) 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(s) is UNSUBSTANTIATED.

An exit interview was conducted with Sylvia Villanueva via tele-inspection. A copy of this report was reviewed and provided to the applicant. Applicant agreed to receive a copy of report via email and voiced understanding that the read receipt confirmation from email will be in lieu of her signature once she received the report. LPA requested licensee provide a signed copy of report.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2020

LIC9099 (FAS) - (06/04)

Page: 4 of 4