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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 421708823
Report Date: 12/31/2025
Date Signed: 12/31/2025 02:35:28 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
10/15/2025 and conducted by Evaluator German Negrete
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20251015155539
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: 6DATE:
12/31/2025
UNANNOUNCEDTIME BEGAN:
10:14 AM
MET WITH:Dawn ChapmanTIME COMPLETED:
12:19 PM
ALLEGATION(S):
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1. Provider did not provide adequate supervision resulting in day care child engaging in inappropriate behavior.
INVESTIGATION FINDINGS:
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On 12/31/2025 , Licensing Program Analyst (LPA) German Negrete conducted an unannounced complaint inspection to deliver the findings for the above-mentioned allegation. LPA met with Licensee Dawn Chapman and explained the reason for the inspection. A tour of the Family Child Care Home(FCCH) was conducted inside and outside by LPA and Licensee. At the time of the inspection, LPA observed Licensee providing care and supervision to 6 children.

The investigation included interviews with the licensee, parents, and the fire department. LPA also conducted two unannounced visits to the family child care home. Observations made during the unannounced visits were documented and included in this investigation. Information obtained through interviews, observations, were reviewed and evaluated to determine compliance with Title 22 California Code of Regulations.

Continued on LIC9099
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2025
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 3
Control Number 17-CC-20251015155539
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: CHAPMAN FCC AKA DAWNS DAY CARE
FACILITY NUMBER: 421708823
VISIT DATE: 12/31/2025
NARRATIVE
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In regards to the allegation, provider did not provide adequate supervision resulting in day care child engaging in inappropriate behavior. Interviews conducted with parents revealed that in October of 2025, there was an incident at the FCCH that resulted in one child(C1) being injured. Two parents from two different families (P1 and P2) stated one child(C1) got their head stuck in a chair at the FCCH. Both P1 and P2 stated this resulted in the fire department being contacted and arriving at the FCCH. P1 continued to state, this was not the first incident involving C1 having their head stuck in a chair. On approximately 10/13/2025 parent stated there was a incident involving C1 in which, C1 got their body limb stuck in the chair. Then a few days later on approximately 10/15/2025, C1 again got their head stuck in the same chair.

Interviews with licensee revealed, two incidents occurred in the month of October 2025. The first incident involved C1 getting their leg stuck in a chair. The second incident involved C1 getting their head stuck in the same chair. Licensee confirmed fire department was called and arrived at the FCCH for the second incident. Licensee also stated, there was a bruise on C1's cheek once the fire department freed C1's head from the chair. LPA interviewed one of the first responders with the fire department who witness C1's second incident. The interview, revealed, C1 did get their head stuck in a chair.

Based on the information obtained through interviews, observations, the preponderance of evidence standard has been met. The allegation that the Licensee failed to provide adequate supervision, resulting in a day care child engaging in inappropriate behavior, is substantiated.

Today Licensee will receive one type A citation under Title 22 CCR section 102423(a)(2).

Exit interview conducted and report was reviewed with Licensee Dawn Chapman.

Appeal rights and LIC9224 document were provided to Licensee.

Notice of site visit was provided and must remain posted in a prominently publicly accessible area of the FCCH.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 17-CC-20251015155539
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: CHAPMAN FCC AKA DAWNS DAY CARE
FACILITY NUMBER: 421708823
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/31/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/10/2026
Section Cited
CCR
102423(a)(2)
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To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement is not met as evidenced by: Interviews collected, revealed in the month of October 2025, C1 was involved in two unusual incidents...
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Licensee will remove aforementioned chair from the FCCH. Licensee will sign a statement aknowledging Licensee understanding of the aforementioned regulation(personal rights). Licensee will submit the signed statement to the department.
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in one incident C1 got a body limb stuck in a chair, and in the second incident C1 got their head stuck in the same chair. In the second incident the fire department were called, and fire department arrived at the FCCH to free C1's head from the chair.
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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: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2025
LIC9099 (FAS) - (06/04)
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