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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215214
Report Date: 03/09/2020
Date Signed: 03/09/2020 02:37:35 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:PHOENIX RANCH SCHOOL & CAMPUS (WEST CAMPUS)FACILITY NUMBER:
566215214
ADMINISTRATOR:VICTORIA DE LEONFACILITY TYPE:
830
ADDRESS:4974 COCHRAN AVE.TELEPHONE:
(805) 527-7764
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:20CENSUS: 0DATE:
03/09/2020
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Victoria De LeonTIME COMPLETED:
02:40 PM
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On March 9, 2020 at 1:05 pm, Licensing Program Manager (LPM) George Mingle, Licensing Program Analyst (LPA) Francisco Pedroza, and LPA Austin Rios met with Facility Director, Victoria De Leon, and Vivian Meguerian for an office meeting at the Department of Social Services, Santa Barbara Regional Office. The purpose of the office meeting was to discuss recent concerns with the operation of a Child Care Center Pursuant to Title 22, Division 12 of the California Code of Regulations.

Concerns discussed:
  • Children's Personal Rights

  • Reporting Requirements

  • Health and Safety of Children

  • Incidents regarding personal rights violations

  • Records keeping

  • Discipline Policy

In response to the discussion, Licensee has agreed to the following:
  • Licensee shall submit a written statement indicating how they will maintain compliance with California Code of Regulations, Title 22, Division 12 at all times by 03/27/2020.

Continued on 809-C
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: PHOENIX RANCH SCHOOL & CAMPUS (WEST CAMPUS)
FACILITY NUMBER: 566215214
VISIT DATE: 03/09/2020
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  • Licensee shall submit in writing a plan of how they will monitor the conduct of staff at all times in providing a safe and healthful environment for children in care by 03/27/2020.
  • Licensee shall submit a written statement no later than 03/27/2020, indicating how children's personal rights will not be violated at any time.
  • Facility shall be placed on a 2 year compliance plan.
  • Licensee shall provide periodic training on Personal Rights / Care and Supervision to staff and submit a training roster signed by all staff to the Department every four (4) months during the two (2) year compliance period. Increased unannounced visits to the facility will be made for the next two years to monitor compliance.
  • Licensee shall provide training to staff on incident reporting and their Mandated Reporter duties.
  • Licensee shall provide to CCL, names of children involved in incidents regarding S1 and their contact information.
  • Facility Director shall attend an Orientation Refresher training at CCL on May 7, 2020.
  • Licensee shall provide to staff the following Child Health and Safety courses found on the links below and submit certificates of completion to the Department by March 27, 2020:

https://ccld.childcarevideos.org/child-care-center-operators/ - Supervising Children in CCC and Children's personal rights in Child Care.

https://agrilifelearn.tamu.edu/catalog?pagename=Guidance-and-Discipline - Responding to Challenging Infant/Toddler Behavior and Positive guidance and Discipline.
  • Licensee has been advised that a substantiation of a similar allegation in the future will result in a possible administrative action by the Department.


Upon receipt, Licensee shall provide copies of this licensing report to parents/guardians of children in care and to parents/guardians of children newly enrolled at the facility during the next 12 months. The Acknowledgement of Receipt (LIC 9224) to parents shall be completed and signed by each parent/guardian with copies maintained in each child's file. Licensee was given a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020
LIC809 (FAS) - (06/04)
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