566215252-9-20-2023-17-CC-MMUR-CXZUE6-20231128143036

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 566215252
Report Date: 09/20/2023
Date Signed: 09/20/2023 12:15:40 PM

Substantiated

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
09/18/2023 and conducted by Evaluator Susana Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20230918144147

FACILITY NAME:	VENTURA CHILDREN'S LEARNING CENTER		FACILITY NUMBER:	566215252
ADMINISTRATOR:	VIKTORIIA SHEVKUNOVA		FACILITY TYPE:	850
ADDRESS:	1110 PETIT AVE.		TELEPHONE:	(805) 672-0300
CITY:	VENTURA	STATE: CA	ZIP CODE:	93004
CAPACITY:	128	CENSUS: 31	DATE:	09/20/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	VIKTORIIA SHEVKUNOVA		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff mishandled child.

INVESTIGATION FINDINGS:

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On Septmeber 20, 2023, Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced inspection to initiate the complaint of the above mentioned allegation. LPA met with director Viktoriia Shevkunova and advised her of the reason for the inspection. Together with the licensee, LPA toured the facility inside and outside. At the time of the inspection there were 31 children in care along with licensee and 8 staff members. During today's visit LPA conducted staff interviews, collected a copy of the children's roster, reviewed staff and children's files and obtained a blank parent contract.

LPA interviewed the director who admits that a staff member (S1) mishandled a child in care (C1). Director showed LPA a video dated 09/11/2023 with the time stamp of 12:24 PM. The video shows children laying down for nap time, C1 was observed to be walking around with S5, S5 is seen trying to help C1 stay on napping mat. C1 lays down on the mat, and then S5 is seen walking to restroom to assist another child. S1 walks over to C1 to assist with putting on shoes. Per director all children wear shoes during the nap. C1 was observed to stand up on the mat then S1 (while sitting on the floor in front of C1) is seen to pull the C1 by the legs causing C1 to sit on the mat.

Conitnued on 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023

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-20230918144147

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: VENTURA CHILDREN'S LEARNING CENTER	FACILITY NUMBER: 566215252
	VISIT DATE: 09/20/2023

NARRATIVE

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S1 was also observed to pull C1 by the arms multiple times. Director states that S1 was talked to in regards to the inappropriate mishandling of C1. LPA reviewed S1's file and observed a write-up letter dated 09/12/2023 for pulling a child by the arm.

Based on LPA's observations, interviews which were conducted, documents gathered and record review, the preponderance of evidence standard has been met, therefore the above allegation is found SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 or Health and Safety Code, are being cited on the attached LIC 9099D.

One Type B deficiency was issued today regarding CCR 101223(a)(3) Personal Rights.

Exit interview conducted, appeal rights were given and report was reviewed with director Viktoriia Shevkunova.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023

LIC9099 (FAS) - (06/04)

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Control Number 17-CC-20230918144147

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: VENTURA CHILDREN'S LEARNING CENTER	FACILITY NUMBER: 566215252
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/20/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/04/2023 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	CCR101223(a)(3)The licensee shall ensure that each child is accorded the following personal rights:To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including...medication or aids to physical functioning. This requirement was not met as evidence by:	1 2 3 4 5 6 7	The center is to submit a written statement on how they plan to prevent this incident from occuring. The center is to submit that to the Department by 10/04/2023.
	8 9 10 11 12 13 14	Based on observations, interview and record review, S1 mishandled day care child which poses a potential Health and/or, Safety and/or, Personal Rights risk to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023

LIC9099 (FAS) - (06/04)

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