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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 406206830
Report Date: 05/21/2025
Date Signed: 05/21/2025 09:43:21 AM

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
03/10/2025 and conducted by Evaluator Shane Loftus
COMPLAINT CONTROL NUMBER: 17-CC-20250310095632
FACILITY NAME:SAN LUIS OBISPO CHILD DEVELOPMENT CENTERFACILITY NUMBER:
406206830
ADMINISTRATOR:MICHELLE HOLMFACILITY TYPE:
850
ADDRESS:1720 BISHOP ST.TELEPHONE:
(805) 544-0801
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY:83CENSUS: 41DATE:
05/21/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Michelle HolmTIME COMPLETED:
09:55 AM
ALLEGATION(S):
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Staff force fed a child in care.
INVESTIGATION FINDINGS:
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On 5/21/2025, Licensing Program Analyst (LPA) Shane Loftus conducted an unannounced inspection to deliver the findings for a complaint regarding the allegation noted above. LPA met with Michelle Holm, Director of the Child Care Center (CCC) and explained the purpose of the inspection. LPA observed forty one (41) children in care along with eleven (11) teachers (cleared and associated) providing care and supervision.
The investigation included observations, record reviews, interviews, and two unannounced site inspections.

As noted above, the specific allegation of the Complaint is that day care staff force fed a child.
LPA was able to corroborate the allegation of the complaint through interviews. Specifically, S1 was observed to forcefully feed a child before C3 they finished eating in an effort to transition to another activity.




Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
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 5
Control Number 17-CC-20250310095632
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: SAN LUIS OBISPO CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 406206830
VISIT DATE: 05/21/2025
NARRATIVE
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Based on LPA's observation, record reviews and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation, (Title 22 Division 12 and CCR 101223(a)(3) is being cited).

Director was provided and advised of their right to appeal (LIC 9058). A copy of this report was reviewed and provided to the Director. The Notice of Site Visit (LIC 9213) was also provided to the Director as required by H&S Code Section 1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
03/10/2025 and conducted by Evaluator Shane Loftus
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20250310095632

FACILITY NAME:SAN LUIS OBISPO CHILD DEVELOPMENT CENTERFACILITY NUMBER:
406206830
ADMINISTRATOR:MICHELLE HOLMFACILITY TYPE:
850
ADDRESS:1720 BISHOP ST.TELEPHONE:
(805) 544-0801
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY:83CENSUS: 41DATE:
05/21/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Michelle HolmTIME COMPLETED:
09:55 AM
ALLEGATION(S):
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Staff kicked a child in care.
Staff did not provide a safe environment for children in care.
INVESTIGATION FINDINGS:
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On 5/21/2025, at 9:00 AM, Licensing Program Analyst (LPA) Shane Loftus conducted an unannounced inspection of the above-mentioned Child Care Center (CCC) to deliver findings regarding the allegations noted above. LPA met with Michelle Holm, Director of the CCC and explained the nature and purpose of the investigation. LPAs notes forty-one (41) children are present at the time of the inspection, along with eleven (11) staff member (cleared and associated) providing care and supervision.

The investigation included two site inspections, records review, and interviews of staff, complainant, and parents of children in care. Allegation 1 claims that day care staff kicked a child in care. Allegation 3 claims that day care staff do not provide a safe environment for children.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 17-CC-20250310095632
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: SAN LUIS OBISPO CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 406206830
VISIT DATE: 05/21/2025
NARRATIVE
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LPA’s interviews, records review, and observations did not corroborate the allegations noted above. LPA found that children in care are provided a safe and healthful environment. Further LPA’s investigation did not find that day care staff kicked a child. 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 is UNSUBSTANTIATED.

A Notice of Site Visit (LIC 9213) and Appeal Rights (LIC 9058) were provided to Licensee. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 17-CC-20250310095632
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: SAN LUIS OBISPO CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 406206830
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/04/2025
Section Cited
CCR
101223(a)(3)
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The licensee shall ensure that each child is accorded the following personal rights...To be free from... interference with functions of daily living including eating.

This requirement was not met as evidenced by:
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Director will submit a written plan to CCLD (shane.loftus@dss.ca.gov) explaining steps that administration takes when a child is reluctant to eat and also to ensure children's personal rights are not violated. Written plan will be submitted by 06/04/2025.
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Based on interviews, director did not comply with the section cited above in that S1 was observed to forcefully feed C3 in an effort to transition from breakfast to another classroom activity.
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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: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5