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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 421700341
Report Date: 11/22/2021
Date Signed: 11/22/2021 04:04:58 PM

Substantiated


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
09/08/2021 and conducted by Evaluator Sylvia Mendoza-Ceja
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20210908131231
FACILITY NAME:SANTA BARBARA BRANCH - SANTA BARBARA YMCAFACILITY NUMBER:
421700341
ADMINISTRATOR:CINDY HALSTREADFACILITY TYPE:
850
ADDRESS:36 HITCHOCKTELEPHONE:
(805) 687-7727
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY:60CENSUS: 19DATE:
11/22/2021
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Channing HogueTIME COMPLETED:
03:55 PM
ALLEGATION(S):
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Staff uses inappropriate forms of discipline.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) S. Mendoza-Ceja conducted an unannounced inspection. LPA advised the Director Channing Hogue the nature of the inspection was to conclude the complaint investigation which was initiated on 09/14/2021. The investigation included obtaining parents contact information for children enrolled in the program, interviewing parents, complainant, and reviewing child #1's file, and reviewing staff #1's documentation regarding incidents occurring at the center.

Staff Interviews were conducted. Staff #1 stated cup cakes have been withheld when a child is acting out.

Parent interviews were conducted. Parents indicated they are satisified with the care their children receive.
However, one parent stated treats such as cup cakes were withheld when their child was acting out. Another parent, asked their child during an interview; the child stated if you hit or kick you don't get a cup cake.

LPA reviewed child#1's and staff #1's documentation in regards to incidents occurring at the center.


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021
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 4
Control Number 17-CC-20210908131231
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: SANTA BARBARA BRANCH - SANTA BARBARA YMCA
FACILITY NUMBER: 421700341
VISIT DATE: 11/22/2021
NARRATIVE
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Based on LPA's, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The following Type A deficiency is cited on page #3 according to California Code of Regulations, Title 22, Division 12 & Chapter 101223.2(a).


An exit interview was conducted, and Plan of Correction was reviewed and developed with the Site Supervisor and Program Manger (telephone). A copy of this report and appeal rights were discussed and left with the Site Supervisor


Upon receipt, post and provide copies of this licensing report: to parents/guardians of children in care at the facility and to parents/guardian of children newly enrolled at the facility during the next 12 months. Licensee shall obtain signatures of parents/guardian on the Acknowledgement of Receipt of Licensing Reports LIC 9224
LPA observed the Notice of Site Visit posted.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 17-CC-20210908131231
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: SANTA BARBARA BRANCH - SANTA BARBARA YMCA
FACILITY NUMBER: 421700341
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/24/2021
Section Cited
CCR
101223.2(a)
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Discipline: Any form of discipline or punishment that violates a child's personal rights as specified in Section 101223 shall not be permitted regardless of authorized representative consent or authorization.


This requirement was not met as evienced by:
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Correct Immediately.
Submit a written plan of correction to Licensing for review by 11/24/2021.
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Interviews and review of documentaiton which revealed special treats suh as a cup cake was withheld for discipline.
This poses an immediate risk to the Health and Safety of children in care.
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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: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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
09/08/2021 and conducted by Evaluator Sylvia Mendoza-Ceja
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20210908131231

FACILITY NAME:SANTA BARBARA BRANCH - SANTA BARBARA YMCAFACILITY NUMBER:
421700341
ADMINISTRATOR:CINDY HALSTREADFACILITY TYPE:
850
ADDRESS:36 HITCHOCKTELEPHONE:
(805) 687-7727
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY:60CENSUS: 19DATE:
11/22/2021
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Channing HogueTIME COMPLETED:
03:55 PM
ALLEGATION(S):
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Staff isolates daycare child.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) S. Mendoza-Ceja conducted an unannounced inspection. LPA advised the Director Channing Hogue the nature of the inspection was to conclude the complaint investigation which was initiated on 09/14/2021. The investigation included obtaining parents contact information for children enrolled in the program, interviewing parents, complainant, and reviewing child #1's file, and reviewing staff #1's documentation regarding incidents occurring at the center.

-Staff Interviews were conducted.
-Parent interviews were conducted and did not corroborate complainant's allegation. Parents indicated they are satisified with the care their children receive.
-LPA reviewed child#1's file and staff #1's documentation in regards to incidents occurring at the center.

The above allegation is unsubstantiated, based on LPA observations, interviews with staff/parents, complainant, and record review. Although these allegations may have occurred, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore, the allegation is unsubstantiated. An exit interview was conducted with the Director
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4