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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566213971
Report Date: 08/15/2019
Date Signed: 08/15/2019 03:02:22 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
05/24/2019 and conducted by Evaluator Laura Villanueva
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20190524132315
FACILITY NAME:CDR - BOB BORREGO CHILD CARE CENTERFACILITY NUMBER:
566213971
ADMINISTRATOR:SUZANNE GODINEZFACILITY TYPE:
850
ADDRESS:228 W. SANTA BARBARA ST.TELEPHONE:
(805) 525-3184
CITY:SANTA PAULASTATE: CAZIP CODE:
93060
CAPACITY:45CENSUS: DATE:
08/15/2019
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Shoaleh Nabatian WelchTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff allowed day care child to participate in unsafe activity.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Laura Villanueva made an unannounced visit in order to conclude the complaint investigation for the above allegation. LPA Villanueva met with Director Licensing Program Analyst (LPA) Laura Villanueva made an unannounced visit in order to conclude the complaint investigation for the above allegation. LPA Villanueva met with Site Supervisor, Shoaleh Nabatian Welch and discussed the purpose of the visit.

Complaint investigation included interviews with complainant, staff, and parents. Interviews conducted with parents did not disclose any evidence to above allegation. Parents interviewed stated they are satisfied with the care and supervision provided in the facility. The child involved in the allegation was not interviewed due to young age. Investigation included 2 unannounced visits by LPA on 2/26/19 and 5/21/19 with no evidence of the above allegation.

No deficiencies cited during today's visit.

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:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
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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