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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426207338
Report Date: 08/10/2023
Date Signed: 08/10/2023 09:40:14 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
08/04/2023 and conducted by Evaluator Maryrose Breault
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20230804153929
FACILITY NAME:STORYTELLER CHILDREN'S CENTERFACILITY NUMBER:
426207338
ADMINISTRATOR:JACQUELINE MCDONOUGHFACILITY TYPE:
850
ADDRESS:2115 STATE ST.TELEPHONE:
(805) 682-9585
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY:42CENSUS: 0DATE:
08/10/2023
UNANNOUNCEDTIME BEGAN:
09:09 AM
MET WITH:Myra LopezTIME COMPLETED:
09:50 AM
ALLEGATION(S):
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Personal Rights - Staff excluded day care child from group activities.
Personal Rights - Staff threatened to withhold food from day care child.
Personal Rights - Staff removed a toy from day care child's hand in a rough manner.
INVESTIGATION FINDINGS:
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On August 10th, 2023, at 9:09AM Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced inspection to initiate a complaint investigation. LPA met with Site Supervisor Myra Lopez and advised her the purpose of the inspection. Site Supervisor provided LPA a tour of the facility. At the time of the inspection there were zero (0) children present due to week of 8/7/2023 – 8/11/2023 being closed for a summer break.
Community Care Licensing Division (CCLD) obtained three (3) allegations of violations of a child’s (herein referred to as C1) personal rights by a teacher (herein referred to a T1), that consisted of excluding C1 from children’s activities, threatening to withhold food from C1, and removing C1's toy from C1 in a rough manner. In addition to complaint, on 7/12/2023 Director Jacqueline McDonough contacted CCLD to self-report same incident occurring on 7/11/2023 regarding T1, C1 and reporting party (RP). During the self-reporting of incident, Director McDonough informed CCLD T1 was terminated on site on 7/12/2023.
Based on LPA’s record / file review, 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) violation is being cited on attached LIC 9099D.
Report review, copy and appeal rights provided to Site Supervisor. This investigation is closed.
THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2023
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-20230804153929
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: 08/10/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/18/2023
Section Cited
CCR
101223(a)(c)
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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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Director to submit to LPA a written statement on how to prevent further incidents from occurring including facility’s hiring practices by 8/18/2023 to Maryrose.breault@dss.ca.gov
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This evidence is met by:
Based on record/file reviews and admission of Director the facility did not comply with 101223 (a) (c). Teacher violated a 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: 08/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2023
LIC9099 (FAS) - (06/04)
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