<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566215639
Report Date: 11/06/2019
Date Signed: 11/06/2019 03:17:59 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
08/16/2019 and conducted by Evaluator Michael Avila
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20190816155641
FACILITY NAME:BRIGHT STARS ACADEMYFACILITY NUMBER:
566215639
ADMINISTRATOR:SAANIYA KWATRA SEKHRIFACILITY TYPE:
850
ADDRESS:1777 STATHAM BLVDTELEPHONE:
(805) 487-0759
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:82CENSUS: 37DATE:
11/06/2019
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Catalina FloresTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Lack of supervision resulting in child hitting another child in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Allegation deemed UNSUBSTANTIATED. Investigation includes statements obstained from staff and review of records.

Licensing Program Analyst (LPA) Michael Avila made an unannounced visit for the purpose of concluding an investigation into the above allegation. LPA Avila met with Director Catalina Flores and discussed the nature and purpose of the visit. On 8/16/2019 a child was struck with a pebble rock the size of a nickle while on the playground. During the investigation, it was discovered the incident was observed by staff (S1) who providing supervision on the playground. Staff observed a group of children digging out pebble size rocks from a dirt hole. One of the children (C1) threw a rock in the air and it struck another child (C2) in care. 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 have been deemed UNSUBSTANTIATED.

No deficiencies were issued during this visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2019
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