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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426216036
Report Date: 05/17/2022
Date Signed: 05/17/2022 04:35:22 PM

Unsubstantiated


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
03/16/2022 and conducted by Evaluator Sylvia Mendoza-Ceja
COMPLAINT CONTROL NUMBER: 17-CC-20220316104224
FACILITY NAME:GUZMAN FAMILY CHILD CAREFACILITY NUMBER:
426216036
ADMINISTRATOR:MARIA PANTOJAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 245-4684
CITY:SANTA BARBARASTATE: CAZIP CODE:
93101
CAPACITY:14CENSUS: 13DATE:
05/17/2022
UNANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:Maria Pantoja and Javier GuzmanTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Provider's dog bit day care child while in care.
INVESTIGATION FINDINGS:
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On 5/17/2022 at 3:25PM Licensing Program Analyst (LPA) S. Mendoza-Ceja conducted an unannounced inspection. LPA met with licensee Maria Pantoja to conclude the complaint investigation. The nature and purpose of the inspection was discussed. LPA toured the home. Investigation included interviewing complaint, parents of children in care, Licensee, and meeting the family pet "Rocky"and taking his picture.

-Complainant stated child #10 said "the the dog, eat my face, with his teeth". Complainant stated child #10 did not have a bite mark and did not receive medical treatment.

-Parent Interviews did not corroborate the allegation.

-Licensee stated child #10 attended the day care only two weeks and the child's parent told her that her dog "Rocky" had bitten their child". Licensee stated, her dog "Rocky" a Boxer (DOB 02/20/2021) has never bitten a child. Licensee stated the parents like the Rocky and most met the Rocky when he was 2 months old. Licensee submitted verification of Rocky's license and shot records for review. Licensee stated, she does limit Rocky's interactins with the children and at times he is in his dog kennel or the fenced area for part of the day.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2022
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 2
Control Number 17-CC-20220316104224
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: GUZMAN FAMILY CHILD CARE
FACILITY NUMBER: 426216036
VISIT DATE: 05/17/2022
NARRATIVE
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LPA observed Rocky to have an appropriate behavior around the children. LPA observed a child #11 and child #12 playing with Rocky giving him commands and throwing the ball for him. LPA also observed Rocky near child #4 (infant) walking on the yard. LPA did not observe any inappropriate interactions between the dog and the children who were interacting with him today. The other children were napping inside the home.

LPA discussed with licensee she shall ensure children's personal rights are not violated by the family dog.

The allegation is unsubstantiated, based on LPA's interviews with complainant, licensee, and parents of children in care. Although the allegation may have occurred, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore, the allegation listed above is deemed UNSUBSTANTIATED.

Exit interview was conducted with licensee during which time appeal rights were explained.

This report and appeal rights and Notice of Site Visit (LIC9213) were provided.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2