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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426216005
Report Date: 08/16/2022
Date Signed: 08/16/2022 06:18:49 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
08/16/2022 and conducted by Evaluator Francisca Velazquez
COMPLAINT CONTROL NUMBER: 17-CC-20220816123252
FACILITY NAME:CASA DEI BAMBINI INFANT AND TODDLERFACILITY NUMBER:
426216005
ADMINISTRATOR:ELIZABETH DAWSONFACILITY TYPE:
830
ADDRESS:624 EAST CAMINO COLEGIOTELEPHONE:
(805) 348-3690
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:16CENSUS: 7DATE:
08/16/2022
UNANNOUNCEDTIME BEGAN:
03:06 PM
MET WITH:Melissa MongeTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Facility premises has gopher problem which present a safety hazard to children in care.
INVESTIGATION FINDINGS:
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On 8/16/22 at 3:00 PM, Licensing Program Analyst (LPAs) Elvin Baddley and Francisca Velazquez made an unannounced inspection to initiate the investigation of the abovementioned allegation at the Child Care Center (CCC). LPA met with Site Supervisor, Melissa Monge, and explained the nature of the inspection and toured the facility . At the time of the inspection seven (7) infant children are present along with four (4) staff providing care and supervision.

LPAs observed numerious mounds and holes which appear to be caused by gophers.

Based on LPAs observations and interviews, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, are being cited on the attached LIC 9099D. CONT 9099-C


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022
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-20220816123252
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: CASA DEI BAMBINI INFANT AND TODDLER
FACILITY NUMBER: 426216005
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/16/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2022
Section Cited
CCR
101238.2(d)(1)(2)
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Outdoor Activity Space- (d) The surface of the outdoor activity space shall be maintained:
(1) In a safe condition for the activities planned. (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. This evidence was not met as evidenced by:
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Licensee agrees to work with mainteance to come up with a solution to remedy the amount of gophers in the outdoor yard. LIcensee agrees to submit a summary of the remedy via email to francisca.velazquez@dss.ca.gov by 8/30/22.
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Based on LPAs observation and staff interviews it was determined that the facility has an infestation with golphers. This is a potential risk to the health and safety of the 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: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 17-CC-20220816123252
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: CASA DEI BAMBINI INFANT AND TODDLER
FACILITY NUMBER: 426216005
VISIT DATE: 08/16/2022
NARRATIVE
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A closing interview was conducted with Licensee. A copy of this report was reviewed and provided to the Licensee along with Appeal Rights.

The Notice of Site Visit was also provided to the facility as required by H&S Code Section 1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3