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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426207338
Report Date: 08/22/2022
Date Signed: 12/22/2023 10:30:12 AM

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
06/06/2022 and conducted by Evaluator Maryrose Breault
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20220606140035
FACILITY NAME:STORYTELLER CHILDREN'S CENTERFACILITY NUMBER:
426207338
ADMINISTRATOR:JAQUELINE MCDONOUGHFACILITY TYPE:
850
ADDRESS:2115 STATE ST.TELEPHONE:
(805) 682-9585
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY:42CENSUS: DATE:
08/22/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jacqueline McDonoughTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Personal Rights
INVESTIGATION FINDINGS:
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The purpose of this amendment is to update the administrator's name.
On August 22nd, 2022 Licensing Program Analyst (LPA) Rosie Breault, made an unannounced inspection to conclude the complaint listed above. Prior to entry, Covid – 19 prescreening questions were asked and no exposure in the home. LPA met with Director Jacqueline McDonough and explained the nature and purpose of the inspection. Director provided LPA a tour of the facility both inside and out. At the time of the inspection there were 18 children present and 5 staff.
The Department (Dept.) obtained allegations that a staff member handled child in a rough manner.
During the investigation, facility provided the Dept. with file records, written statement(s) regarding the allegation, and the Dept. conducted interviews with parents and staff.
On 8/19/2022, Director verbally stated to LPA via telephonic conversation that staff member had been terminated from facility effective 6/25/2022.
Based on LPA’s observation, record / file review, and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found SUBSTANTIATED. California Code of Regulations, Title 22 Division 12; 101223 (a) Personal Rights (a) (c) is being cited on the attached LIC 9099D
Appeal Rights Given.
LPA observed Director posted the Notice of Site Visit.
This investigation is closed.
Exit interview was conducted with licensee. Notice of Site Visit (LIC 9213) posted during LPA inspection, and must remain posted for 30 consecutive days. Failure to maintain posting as required will result in a civil penalty of $100.00.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 17-CC-20220606140035
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: STORYTELLER CHILDREN'S CENTER
FACILITY NUMBER: 426207338
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/22/2022
Section Cited
CCR
101223(a)(c)
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(a) The licensee shall ensure that each child is accorded the following personal rights: (a) to be free from corporal or unusual punishment, infliction of pain, humiliation…
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8/12/22 all staff was trained on child abuse, procedures, and reporting requirements to CCL. Director to provide LPA list of all who attended that meeting by 8/31/2022. LPA provided Director various CCLD training videos on care and supervision. Director to report to LPA roster of all participating staff by August 31st, 2022 via email: Maryrose.breault@edd.ca.gov
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Based on record/file reviews and interviews, the facility did not comply with 101223 (a) (c). Teacher inappropriately handled a child that violated child’s personal rights, which possess a potential health and safety risk to persons 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: Maryrose Breault
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2022
LIC9099 (FAS) - (06/04)
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