566215335-1-6-2022-17-CC-GMIE-CAW4LC-20220121181141

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 566215335
Report Date: 01/06/2022
Date Signed: 01/06/2022 02:04:23 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
11/23/2021 and conducted by Evaluator Francisco Pedroza

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20211123133729

FACILITY NAME:	FUSD - SESPE PRE SCHOOL		FACILITY NUMBER:	566215335
ADMINISTRATOR:	LORENA RAMOS		FACILITY TYPE:	850
ADDRESS:	627 SESPE AVE		TELEPHONE:	(805) 524-8202
CITY:	FILLMORE	STATE: CA	ZIP CODE:	93015
CAPACITY:	48	CENSUS: 6	DATE:	01/06/2022
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Lorena Ramos		TIME COMPLETED:	02:18 PM

ALLEGATION(S):

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Personal Rights-Staff hit daycare child resulting in an injury.
Personal Rights-Staff did not allow daycare child to use the bathroom.
Personal Rights-Staff did not assist daycare child as needed.

INVESTIGATION FINDINGS:

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On January 6, 2022 @ 2:50 PM, Licensing Program Analysts (LPAs) Francisco Pedroza and Michael Mathew conducted an inspection to conclude a complaint investigation. LPAs met Director Ramos and advised her the purpose of the inspection. LPAs were provided a tour of the facility inside out. There were six (6) children in care at the time of the inspection.

Allegation(s) stated a staff hit daycare child resulting in an injury, staff did not allow daycare child to use the bathroom, and staff did not assist daycare child as needed. LPAs conducted two unannounced inspections touring the facility inside and out. During the course of the investigation, LPAs conducted staff, parent, and child interviews. LPAs did not gather evidence from staff interviews to collaborate with the allegation(s). Per staff interviews, C1 collided with another child while they were playing on the bikes in the outdoor recreation yard resulting in the injuries.

Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2022

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-20211123133729

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: FUSD - SESPE PRE SCHOOL	FACILITY NUMBER: 566215335
	VISIT DATE: 01/06/2022

NARRATIVE

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Staff provided day-to-day procedures on how they address children's needs and using the bathroom. Parent interviews were conducted. No parent interview provided evidence to collaborate with the allegation(s). LPAs interviewed C1 gathering 8no evidence was provided to collaborate with the allegation(s). Although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2022

LIC9099 (FAS) - (06/04)

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