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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566215639
Report Date: 12/24/2019
Date Signed: 12/24/2019 11:57:46 AM



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
11/06/2019 and conducted by Evaluator Michael Avila
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20191106112924
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: 6DATE:
12/24/2019
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Catalina FloresTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Lack of supervision resulted in child being injured.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Allegation deemed UNSUBSTANTIATED. Investigation includes statements obtained from staff and parent along with reviews of facility records.

Licensing Program Analyst(s) Michael Avila and Betzayra Cervantes made an unannounced inspection visit for the purpose of concluding a complaint investigation into the above allegation. LPAs met with the Director Catalina Flores and discussed the nature and purpose of the visit. LPAs toured the facility and observed 6 children in care of two staff teachers.

On 10/29/2019, at or about 4pm, a child (C1) was playing on the outdoor play structure and fell injuring her right ear. Based on staff interviews, there were two staff supervising 12 children at the time of the incident. The child required immediate medical attention and review of staff records revealed staff is current in pediatric first-aid/cpr. Staff contacted paramedics who arrived promptly and transported the child to a nearby medical facility where she was met by her parent. 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 has 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: 12/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/24/2019
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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