566213572-10-14-2020-17-CC-GMIE-BUF26D-20201015170654

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 566213572
Report Date: 10/14/2020
Date Signed: 10/14/2020 11:14:59 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
06/17/2020 and conducted by Evaluator Francisco Pedroza

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20200617121447

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: 5	DATE:	10/14/2020
		UNANNOUNCED	TIME BEGAN:	10:25 AM
MET WITH:	Sylvia Villanueva		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Personal Rights - Child inappropriately disciplined while in care.

INVESTIGATION FINDINGS:

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On October 14, 2020 at 10:25, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced inspection to conclude a complaint investigation into the above allegation(s). LPA met with licensee Sylvia Villanueva and explained the nature and the 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 via Facetime. Licensee had five children in care at the time of the inspection.

Allegation(s) stated a child was inappropriately disciplined while in care. LPA made two unannounced virtual tele-inspections. The Investigation included a review of police and CPS reports, conducting interviews with parents, staff, and LPA’s observations. LPA toured the facility on each inspection that was completed. LPA referred the complaint to Child Protective Services and Simi Valley Police Department. Their investigations were completed and closed with no findings.

Continued on 9099C

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: 10/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2020

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-20200617121447

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: 10/14/2020

NARRATIVE

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During the course of the investigations, staff and parents interviewed providing positive feedback on how the care and supervision provided by licensee. Staff and parents interviewed provided no evidence to support the allegation. Complainant could not provide a doctor’s report and confirmed that the hospital did not find any evidence of abuse.

This agency has investigated the complaint alleging a child was inappropriately disciplined while in care. 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.

A copy of this report will be e-mailed to Mrs. Villanueva with a delivery/read request. LPA advised licensee that the delivery/read receipt will be used in lieu of her signature. LPA requested licensee to print the report, sign it, and return a copy back to the LPA for records.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2020

LIC9099 (FAS) - (06/04)

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