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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566215423
Report Date: 07/11/2024
Date Signed: 07/11/2024 02:16:50 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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
04/29/2024 and conducted by Evaluator Veronica Diaz
COMPLAINT CONTROL NUMBER: 17-CC-20240429162019
FACILITY NAME:MY DESTINY PRE-SCHOOL & CHILD CARE CENTER, INC.FACILITY NUMBER:
566215423
ADMINISTRATOR:YOLANDA ANN JACKSONFACILITY TYPE:
850
ADDRESS:53 MOODY COURTTELEPHONE:
(310) 462-6348
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY:15CENSUS: 17DATE:
07/11/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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9
Staff engaged in verbal harassment of another staff in the presence of day care children.
INVESTIGATION FINDINGS:
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On 7/11/2024 and 9:30 Licensing Program Analysts (LPAs) Veronica Diaz and David Roman conducted an unannounced complaint inspection to deliver the findings of the above-mentioned allegations. LPAs met with director Yolanda Jackson and advised them of the purpose for the inspection. Together with the directors LPA toured the facility inside and outside. At the time of inspection there were 17 children and 3 staff members.

The Department received a complaint alleging Staff engaged in verbal harassment of another staff in the presence of day care children. This investigation included 2 unannounced inspections, staff, and parents interviews.

LPAs observed staff appeared to be inviting and participated in answering LPA's questions. Staff denied the allegation of harassment to any staff members at any time. Parents interviewed shared no concerns with staff. Overall, parents were satisfied with the care and supervision provided at the center.



Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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
04/29/2024 and conducted by Evaluator Veronica Diaz
COMPLAINT CONTROL NUMBER: 17-CC-20240429162019

FACILITY NAME:MY DESTINY PRE-SCHOOL & CHILD CARE CENTER, INC.FACILITY NUMBER:
566215423
ADMINISTRATOR:YOLANDA ANN JACKSONFACILITY TYPE:
850
ADDRESS:53 MOODY COURTTELEPHONE:
(310) 462-6348
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY:15CENSUS: 17DATE:
07/11/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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2
3
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5
6
7
8
9
Facility was operating out of ratio
INVESTIGATION FINDINGS:
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9
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12
13
On 7/11/2024 and 9:30 Licensing Program Analysts (LPAs) Veronica Diaz and David Roman conducted an unannounced inspection to deliver the findings of the above-mentioned allegations. LPA met with director Yolanda Jackson and advised them of the purpose for the inspection. Together with the director LPA toured the facility inside and outside. At the time of inspection there were 17 children and 3 staff members.

The Department received a complaint alleging Facility was operating out of ratio. This investigation included 2 unannounced inspections, records reviews, staff, and parents interviews.

LPA observed the center to have 17 children in care and the max capacity is15 there were 3 staff present on today's unannounced inspections.


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 17-CC-20240429162019
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: MY DESTINY PRE-SCHOOL & CHILD CARE CENTER, INC.
FACILITY NUMBER: 566215423
VISIT DATE: 07/11/2024
NARRATIVE
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Based on LPAs observance 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.

A closing interview was conducted with Director Yolanda Jackson. Director was provided and advised of Appeal Rights. A copy of this report was reviewed and provided to the Licensee LPAs explained the facility's required plan of correction.

The Notice of Site Visit was also provided to the Licensee as required by H&S Code Section 1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 17-CC-20240429162019
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: MY DESTINY PRE-SCHOOL & CHILD CARE CENTER, INC.
FACILITY NUMBER: 566215423
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/11/2024
Section Cited
CCR
101179(a)(1)
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101179 Capacity Determination
(a)(1) A license shall be issued for a specific capacity, which shall be the maximum number of children that can be cared for at any given time...
This requirements is not met as evidence by:
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Director will submit a written directive on how the center will stay in compliance.
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Based on observation, interview, record review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety, or personal rights risk to persons in care.
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Type A
07/11/2024
Section Cited
HSC
1568.0822(c)(2)(A)
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(c) The department shall assess an immediate civil penalty of five hundred dollars ($500) per violation and one hundred dollars ($100) for each day the violation continues after citation for any of the following serious violations...
This requirements is not met as evidence by:
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Director will submit a written directive on how the center will stay in compliance.
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Based on observation, interview, record review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety, or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 17-CC-20240429162019
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: MY DESTINY PRE-SCHOOL & CHILD CARE CENTER, INC.
FACILITY NUMBER: 566215423
VISIT DATE: 07/11/2024
NARRATIVE
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Although 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 were cited for today. Notice of site visit was given and must remain posted for 30 days. Appeal Rights were provided report was reviewed. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the director Yolanda Jackson.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5