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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566214919
Report Date: 12/03/2021
Date Signed: 12/03/2021 02:58:59 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
09/28/2021 and conducted by Evaluator Sylvia Mendoza-Ceja
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20210928155139
FACILITY NAME:VUSD - PACIFIC HIGH JUMPSTART STATE PRESCHOOLFACILITY NUMBER:
566214919
ADMINISTRATOR:LORETTA GALAVIZFACILITY TYPE:
850
ADDRESS:501 COLLEGE DRIVETELEPHONE:
(805) 641-5000
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:16CENSUS: 0DATE:
12/03/2021
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Amanda VoglTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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9
Child's clothing was removed and bathed in the classroom.
INVESTIGATION FINDINGS:
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Today's inspection was conducted by Licensing Program Analyst (LPA) S. Mendoza-Ceja who met with Site Supervisor Amanda Vogl. The purpose of today's inspection is to conclude the complaint initiated on 10/01/2021. Investigation included obtaining the complainant's statement, interviewing the staff and obtaining their written statements, interviewing parents of children in care, and obtaining the local law enforcement police report. In addition, the Site Supervisor submitted an incident report regarding the allegation above.

Parent interviews did not corroborate the above allegation. Parents interviews revealed they are satisfied with the care their children receive.

Site Supervisor stated, the center staff read a book with the children regarding bathing. Site Supervisor stated staff are never left alone with children. Staff interviews and statements declarations indicated they denied the above allegation.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2021
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-20210928155139
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: VUSD - PACIFIC HIGH JUMPSTART STATE PRESCHOOL
FACILITY NUMBER: 566214919
VISIT DATE: 12/03/2021
NARRATIVE
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Review of the local law enforcement police report revealed parent and child #1 were interviewed. The police report did not corroborate complainant's allegation.

The above allegation is unsubstantiated, based on LPA observations, interviews with staff/parents, complainant, and record review. Although these allegations may have occurred, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore, the allegation is unsubstantiated. An exit interview was conducted with the Site Supervisor.
SUPERVISOR'S NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2