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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566216144
Report Date: 04/06/2022
Date Signed: 04/06/2022 12:28:45 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
01/04/2022 and conducted by Evaluator Betzayra Cervantes
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20220104130405
FACILITY NAME:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
566216144
ADMINISTRATOR:GUILLERMINA GARCIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 253-5679
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:14CENSUS: 9DATE:
04/06/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Guillermina GarciaTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Licensee hit child.
INVESTIGATION FINDINGS:
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On April 6, 2022 at 9:45 AM, Licensing Program Analyst (LPA) Betzayra Cervantes made an unannounced inspection to conclude the investigation of the above allegation(s). LPA met with licensee Guillermina Garcia and explained the purpose of the inspection. LPA asked the license pre-screening questions related to COVID 19. Licensee's response indicates there are no COVID 19 exposures on site. LPA toured the home with Licensee, Guillermina Garcia. Licensee and assistant were caring for 9 children at the time of the inspection.

Allegation stated, "Licensee hit child." Investigation included three unannounced inspections, interviews with current and past parents, staff interviews, and children's interviews. LPA reviewed facility records and completed a file review. Children and staff interviewed did not corroborate the allegations. Parents interviewed expressed satisfaction with the care and supervision provided by this facility and had no concerns or comments regarding incidents made known to them by children in care.

CONT ON LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra CervantesTELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022
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-20220104130405
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: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 566216144
VISIT DATE: 04/06/2022
NARRATIVE
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Record Review reveals that licensee is reported to address the children's behaviors at the facility and inform parents of conduct or behavior which is both agreeable and/or disagreeable/unacceptable.

This agency has investigated the complaint(s) alleging "Licensee hit child." Although the Interviews with the licensee and assistant did not provide supporting evidence, verify or allegation 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.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed in Spanish with licensee, Guillermina Garcia.

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra CervantesTELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022
LIC9099 (FAS) - (06/04)
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