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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197412503
Report Date: 04/09/2026
Date Signed: 04/09/2026 02:52:21 PM

Substantiated


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
02/18/2026 and conducted by Evaluator Seena Parsapour
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20260218214709
FACILITY NAME:TRIUNFO YMCA- SUMAC ELEMENTARY SITEFACILITY NUMBER:
197412503
ADMINISTRATOR:ABIGAIL PECHFACILITY TYPE:
840
ADDRESS:6050 N. CALMFIELDTELEPHONE:
(818) 889-8857
CITY:AGOURA HILLSSTATE: CAZIP CODE:
91301
CAPACITY:90CENSUS: 32DATE:
04/09/2026
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Daiana BaezTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Lack of care and supervision resulting in an altercation between children in care
Staff did not follow reporting requirements
INVESTIGATION FINDINGS:
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On 4/09/2026 at 1:00PM PST, Licensing Program Analyst (LPA) Seena Parsapour conducted an unannounced Complaint Investigation inspection of the abovementioned Child Care Center (CCC) for the purpose of delivering findings pertaining to the above listed allegations. LPA met with Director, Daiana Baez, and explained the nature & purpose of the inspection. LPA, in the company of Director, toured the interior & exterior of the CCC. At the time of the inspection, LPA observed thirty-two (32) children under the care & supervision of four (4) staff members.
The investigation included three (3) unannounced inspections, observations, record reviews, and interviews. Interviews were conducted with CCC staff and parents of children currently enrolled, and children enrolled. LPA was able to corroborate the abovementioned allegations through interviews with staff and children enrolled. During an interview with S3, in reference to an incident that occurred involving C1, C2, and C3 during outdoor play on February 11, 2026, S3 disclosed to LPA that by the time they observed C3 squirting water on other children and intervened, “it was too late.” (Cont. 9099-C, Page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Seena Parsapour
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
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 3
Control Number 17-CC-20260218214709
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: TRIUNFO YMCA- SUMAC ELEMENTARY SITE
FACILITY NUMBER: 197412503
VISIT DATE: 04/09/2026
NARRATIVE
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S3 furthermore disclosed that they did not directly observe the incident between C1, C2, and C3, but rather, that they became aware of what had transpired between the children after noticing C2 upset and proceeding to speak with C2. Interview with C1 also revealed that staff did not observe the incident.
During an interview with S2, S2 stated they were not aware of the requirement to report unusual incidents to licensing, and that the protocol they were trained on only involved reporting to “The Y” via a QR code posted on the classroom wall. S2 did, however, indicate to LPA awareness of their requirement to report suspected child abuse or neglect to Child Protective Services (CPS).
Based on the totality of the evidence gathered throughout the course of the investigation, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

During today's inspection, two (2) Type B Deficiencies are being issued under Title 22 of the California Code
of Regulations, and Health and Safety Codes (See LIC9099D).

A notice of site visit was given and must remain posted for 30 days or a civil penalty of $100 may apply. Appeal Rights were provided to Director. Exit interview was conducted and report was reviewed with the Director, Daiana Baez.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Seena Parsapour
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 17-CC-20260218214709
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: TRIUNFO YMCA- SUMAC ELEMENTARY SITE
FACILITY NUMBER: 197412503
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/17/2026
Section Cited
CCR
101229(a)
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101229(a) The licensee shall provide care and supervision as necessary to meet the children's needs.

This requirement was not met as evidenced by...
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...personal rights risk to children in care.

Director shall submit to the Department (seena.parsapour@dss.ca.gov) a written statement explaining how they plan on ensuring compliance with this regulation moving forward, no later than 4/17/2026.
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Based on interviews with staff and children, the facility did not comply with the section cited above in that necessary care & supervision was not being provided resulting in an altercation between children in care, which poses/posed a potential health, safety, or...
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Director informed LPA that all staff members received training on March 25, 2026 regarding care & supervision requirements, as well as reporting requirement, and other relevant topics.




Type B
04/17/2026
Section Cited
CCR
101212(d)(C)
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101212(d)(C) [...] a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department...
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Based on record review and interviews with staff, the facility did not comply with the section cited above in that an altercation between children in care on February 11th 2026 was not reported as required to the Department, which poses/posed a potential health, safety, or personal rights risk to children in care.
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...within seven days following the occurrence of such event.
(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
This requirement was not met as evidenced by...
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Director shall submit to the Department (seena.parsapour@dss.ca.gov) a written statement explaining how they plan on ensuring compliance with this regulation moving forward, and shall retroactively report the incident by email using the LIC624 form, no later than 4/17/2026.
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: Maria Mueller
LICENSING EVALUATOR NAME: Seena Parsapour
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3