566214429-5-23-2023-17-CC-GMIE-CS4MCR-20230523092954

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 566214429
Report Date: 05/11/2023
Date Signed: 05/23/2023 09:14:14 AM

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
02/17/2023 and conducted by Evaluator Laura Villanueva

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20230217163024

FACILITY NAME:	MOTTARD FAMILY CHILD CARE		FACILITY NUMBER:	566214429
ADMINISTRATOR:	STEPHANIE MOTTARD		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 388-7659
CITY:	CAMARILLO	STATE: CA	ZIP CODE:	93010
CAPACITY:	14	CENSUS: 7	DATE:	05/11/2023
		UNANNOUNCED	TIME BEGAN:	04:45 PM
MET WITH:	Stephanie Mottard		TIME COMPLETED:	06:10 PM

ALLEGATION(S):

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Day-care child's needs are not being met while in care.

INVESTIGATION FINDINGS:

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On May 11, 2023 4:45 PM, Licensing Program Analyst (LPA) Laura Villanueva made an unannounced visit to conclude the complaint investigation for the above allegation. LPA met with Licensee, Stephanie Mottard and explained the purpose of the inspection. LPA asked pre-screening questions related to COVID-19. Responses suggest no COVID exposure on site.

LPA observed that llicensee completed and documented 15 minute sleep checks. Licensee stated that on second say of care, C1 was put down for a nap in the playroom while another child was present in another pack n play. The room was darkened while there was a diffuser of lavender essential oil, the fan was on, and soft county music playing. The child fell asleep quickly without fuss. At the first 15 minute check C1 was sound asleep. After 30 minutes he woke, and licensee checked on him. C1's diaper was checked and found to be dry. Licensee laid C1 back down.
Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura Villanueva	TELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2023

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-20230217163024

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: MOTTARD FAMILY CHILD CARE	FACILITY NUMBER: 566214429
	VISIT DATE: 05/11/2023

NARRATIVE

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C1's diaper was checked and found to be dry. Licensee laid C1 back down. After licensee assured C1 that he was ok, he calmed quickly and fell back to sleep. C1 slept for an additional 1 hour and 45 minutes. C1's father texted during nap period to see how C1 was doing during nap. Licensee promptly responded by informing father that C1 slept for 30 minutes, woke, and was now sleeping again. LPA inspected the room where child was sleeping as licensee was giving a recount of the incident.

Based on record review, licensee statement, parent interviews, and assistant statements the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies cited today. A notice of site visit was given.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura Villanueva	TELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2023

LIC9099 (FAS) - (06/04)

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