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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566203831
Report Date: 01/22/2026
Date Signed: 01/22/2026 04:46:08 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 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
09/16/2025 and conducted by Evaluator Giovani Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20250916162753
FACILITY NAME:VENTURA BRANCH - ELMHURST ELEMENTARYFACILITY NUMBER:
566203831
ADMINISTRATOR:JENNIFER HEUNEN-STIFFLERFACILITY TYPE:
840
ADDRESS:5080 ELMHURST ST.TELEPHONE:
(805) 256-2474
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:72CENSUS: 12DATE:
01/22/2026
UNANNOUNCEDTIME BEGAN:
03:35 PM
MET WITH:Amanda Pineda TIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Personal Rights - Staff denied the personal rights of child in care.
INVESTIGATION FINDINGS:
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On January 22, 2025 Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced inspection at the above mentioned Child Care Center (CCC). LPA met with Amanda Pineda and informed them the purpose of the inspection is to close a complaint investigation. At the time of the inspection 12 children were present.

The allegation of Personal Rights - Staff denied the personal rights of child in care was corroborated. According to statement provided by Staff 1 (S1), they asked Child 1 (C1) to remove the hood of their sweater off, twice. Per S1's statement, C1 responded no to taking the hood off. S1 then attempted to remove a hood off of (C1), however, denied handling C1 in a rough manner. In LPA's interview with C1, C1 stated they it hurt when S1 tried to take the hood off.

Based on LPAs observations, interviews which were conducted, documents gathered and/or record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 or Health and Safety Code, are being cited on the attached LIC 9099D.

Report was reviewed with Amanda Pineda. Notice of site visit was given and appeal rights were given.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
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-20250916162753
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: VENTURA BRANCH - ELMHURST ELEMENTARY
FACILITY NUMBER: 566203831
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/22/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/29/2026
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights
(a)(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 requirement is not met as evidenced by:
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Facility will to provide a written statement on how to prevent incidents like this in the future to LPA via email at giovani.gonzalez@dss.ca.gov no later than 1/29/25.
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Based on interviews conducted, and record review, Licensee did not comply with the deficiency cited above which a potential risk to the health, safety and or personal rights of 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: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2