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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 421708823
Report Date: 12/18/2023
Date Signed: 12/18/2023 01:32:22 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 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
09/19/2023 and conducted by Evaluator Giovani Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20230919130356
FACILITY NAME:CHAPMAN FCC AKA DAWNS DAY CAREFACILITY NUMBER:
421708823
ADMINISTRATOR:DAWN CHAPMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 964-2861
CITY:SANTA BARBARASTATE: CAZIP CODE:
93111
CAPACITY:14CENSUS: DATE:
12/18/2023
UNANNOUNCEDTIME BEGAN:
12:46 PM
MET WITH:Dawn Chapman TIME COMPLETED:
01:40 PM
ALLEGATION(S):
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1. Lack of supervision - Licensee left day care child unsupervised for extended period(s) of time.
2. Personal Rights - Licensee did not ensure that day care child's hygiene needs were met while in care.
INVESTIGATION FINDINGS:
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On December 18, 2023, Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced inspection at the abovementioned Family Child Care Home (FCCH) to close a complaint investigation. LPA met with Licensee Dawn Chapman and informed them of the purpose of the inspection. At the time of the inspection there were 6 children present.

The Department received 2 allegations. The first allegation was that Licensee left day care child unsupervised for an extended period(s) of time. During LPA’s initial visit they observed that there was an infant sleeping in a separate room with the door closed. Parent interviews revealed that this was also the case for other infant children. The second allegation was that the Licensee did not ensure day care child’s hygiene needs were met while in care. Parent interviews revealed that this was the case for other infant children as well. 1 parent provided a video where their infant child’s face was dirty and had various cuts on their forehead.

Based on LPAs observations, interviews which were conducted, documents gathered and/or record review(s), the preponderance of evidence standard has been met, therefore the above allegations are found SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 or Health and Safety Code, are being cited on the attached LIC 9099D.2 Type B deficiencies are being cited.

Exit interview was conducted and report was reviewed with Licensee Dawn Chapman. Notice of site visit and appeal rights were given.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2023
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-20230919130356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CHAPMAN FCC AKA DAWNS DAY CARE
FACILITY NUMBER: 421708823
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/18/2023
Section Cited
CCR
102425(j)(5)
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Infant Safe Sleep 102425(j)(5)
The provider shall supervise infants while they are sleeping and adhere to the following requirements: ... the door to the room the infant is sleeping in shall remain open at all times.
This requirement is not met as evidenced by:
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Licensee will provide statement to LPA that they will adhere to the safe sleep regulations and that they leave the infant nap room door open when infants are sleeping via mail by 01/02/2024
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Based on observation and interviews Licensee did not comply by having infants sleep in a separate room with the door closed which poses a potential risk to the health, safety and or personal rights of children in care.
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Type B
01/02/2024
Section Cited
CCR
102423(a)(2)
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Personal Rights
Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee... . These rights include, but are not limited to, the following: To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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Licensee to provide LPA written plan explaining how Licensee will ensure that infant hygiene needs will be met. via mail by 01/02/2024.
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This requirement is not met as evidenced by:
Based on interviews conducted Licensee did not comply since infant hygiene needs were not being met which is a potential risk to the health, safety and or personal rights 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: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2