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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566215588
Report Date: 10/08/2020
Date Signed: 10/08/2020 03:59:55 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
07/15/2020 and conducted by Evaluator Maria McDaniels
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20200715142251
FACILITY NAME:KISSICK FAMILY CHILD CARE AKA LUV BUGS DAYCAREFACILITY NUMBER:
566215588
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
10/08/2020
UNANNOUNCEDTIME BEGAN:
01:52 PM
MET WITH:Aubrye Kissick TIME COMPLETED:
02:51 PM
ALLEGATION(S):
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Record Keeping
INVESTIGATION FINDINGS:
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On 10/08/2020 pm Licensing Program Analyst(s) Maria McDaniels and Francisco Pedroza contacted licensee Aubrye Kissick to conclude a complaint investigation. LPAs explained the nature and the purpose of the call to the license. Due to COVID-19 requirements and precautions, the inspection and final interview were conducted by a virtual tele-inspection via Facetime. Licensee had 5 children in care at the time of the inspection.
Complaint received alleged that staff providing direct care does not have required Cardiopulmonary Resuscitation (CPR) training. By review of facility records, LPAs verified licensee and S1 had current CPR/First aid cards and have renewed certifications with Emergency Medical Services Association (EMSA) for at least, over a two-year period. S1’s CPR certification expired in early May 2020 and was able to renew in June 2020 due to challenges posed by the COVID-19 pandemic in accessing in-person renewal classes for CPR/First aid.
Continued on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Maria McDanielsTELEPHONE: (805) 729-8797
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2020
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-20200715142251
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: KISSICK FAMILY CHILD CARE AKA LUV BUGS DAYCARE
FACILITY NUMBER: 566215588
VISIT DATE: 10/08/2020
NARRATIVE
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Licensee maintained a current CPR/First aid certification throughout this period as required by the Department. LPA’s could not verify or proof that S1 was the sole provider of the day-care during the one-month period when she was looking for a class to renew her CPR certificate.
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(s) is UNSUBSTANTIATED.

An exit interview was conducted with Aubrye Kissick via tele-inspection. A copy of this report was reviewed and provided to the applicant. Applicant agreed to receive a copy of report via email and voiced understanding that the read receipt confirmation from email will be in lieu of her signature once she received the report.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Maria McDanielsTELEPHONE: (805) 729-8797
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2020
LIC9099 (FAS) - (06/04)
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