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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566203310
Report Date: 03/12/2024
Date Signed: 03/12/2024 01:36:39 PM

Document Has Been Signed on 03/12/2024 01:36 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:VUSD - ATLAS JUMPSTART PRESCHOOLFACILITY NUMBER:
566203310
ADMINISTRATOR:RUTH VALENCIAFACILITY TYPE:
850
ADDRESS:760 JAZMIN AVE.TELEPHONE:
(805) 672-2701
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 13DATE:
03/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Cara DallamoraTIME COMPLETED:
01:45 PM
NARRATIVE
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On 3/12/2024 at 10:15am Licensing Program Analysts (LPAs) German Negrete and Sylvia Ceja made an unannounced visit for the purpose of conducting a Case Management - Incident inspection. LPAs met with Early Childhood Education (E.C.E) Coordinator Cara Dallamora and discussed the purpose of the visit. During today’s inspection, LPAs did a walk through of the Child Care Center with the E.C.E Coordinator. At the time of the inspection LPAs observed 3 staff supervising 13 children.

On 01/19/2024, Early Childhood Education (E.C.E) Coordinator contacted Community Care Licensing (CCL) to self-report an unusual incident involving child #1 being removed from a classroom inappropriately by staff #1 and staff #2.

The Unusual Incident Report was received on 1/26/2024. The incident report revealed staff #1 and staff #2 were placed on administrative leave. Staff #4 informed the E.C.E Coordinator on Thursday 1/18/2024 regarding the situation. E.C.E Coordinator stated the child #1's family was informed of the incident. According to the incident report there were 4 staff supervising 16 children at the time of the incident.

Continued-809C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: VUSD - ATLAS JUMPSTART PRESCHOOL
FACILITY NUMBER: 566203310
VISIT DATE: 03/12/2024
NARRATIVE
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During today’s inspection, LPAs interviewed staff #3, staff # 4 and the E.C.E Coordinator. According to the E.C.E Coordinator child #1 did not need medical attention and child #1 is still enrolled in the program. Also staff interviews revealed multiple incidents have occurred in the past involving child #1's behavior. The center staff failed to report these incidents to Community Care Licensing.

LPAs reviewed child #1's and staff files and interviewed staff which revealed no incidents were documented in the child #1's file.

LPAs advised, the center will be receiving type B deficiencies for failure to report incidents involving child #1 to Community Care Licensing within 24 hours as required. In addition, for violation of child's personal rights.

Exit interview was conducted, report reviewed, and copy was provided to E.C.E coordinator. Notice of site visit was given.

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.

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

DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2024
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Document Has Been Signed on 03/12/2024 01:36 PM - It Cannot Be Edited


Created By: German Negrete On 03/12/2024 at 12:47 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: VUSD - ATLAS JUMPSTART PRESCHOOL
FACILITY NUMBER: 566203310

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/12/2024
Section Cited
CCR
101212(d)(1)(c)

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Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.
(1) Events reported shall include the following: (C)Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This reporting requiremnt wa snot met as evidence by...
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Center shall submitt a written plan to ensure Unusual incident reports are submmitted to the Department following the Child Care Regulations, Title 22, Division 12 by 03/18/2024
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record review and interview with staff revealed day care center staff failed to report a unusual incident in a timely manner involving child #1 being innapropriately handled by staff. Staff inteviews revealed other incidents involving child #1's behavior were not reported.
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Type B
03/12/2024
Section Cited
CCR101223(a)(3)

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(a) The licensee shall ensure that each child is accorded the following personal rights: (3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
This regulation was not met as evidence by...
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Center shall submitt a written plan to esnure childrens personal rights are not violated to the Department following the Child Care Regulations, Title 22, Division 12 by 03/18/2024
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Staff Interviews and Unusual Incident Report reveled that staff #1 and staff #2 inapporpriately handled child 1 on 01/16/2024
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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.
SUPERVISOR'S NAME:Ana Tolentino
LICENSING EVALUATOR NAME:German Negrete
LICENSING EVALUATOR SIGNATURE:
DATE: 03/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/12/2024


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