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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566209616
Report Date: 05/26/2022
Date Signed: 05/26/2022 02:03:24 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
04/18/2022 and conducted by Evaluator Betzayra Cervantes
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20220418091930
FACILITY NAME:CISNEROS FAMILY CHILD CAREFACILITY NUMBER:
566209616
ADMINISTRATOR:MARIA CISNEROSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 585-9701
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY:14CENSUS: 9DATE:
05/26/2022
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Maria CisnerosTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Child was injured while in care.
INVESTIGATION FINDINGS:
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On May 10, 2022 at 12:30PM, Licensing Program Analyst (LPA) Betzayra Cervantes made an unannounced inspection to conclude the investigation of the above allegation. LPA met with licensee Maria Cisneros and explained the purpose of the inspection. LPA asked the license pre-screening questions related to COVID 19. Licensee's response indicates there are no COVID 19 exposures on site. LPA and Licensee toured the home inside and outside. Licensee and assistant were caring for seven (9) children at the time of the inspection.

Allegation stated, "Child was injured while in care." Investigation included two unannounced inspections, interviews with current and past parents, staff interviews, and review of police report and photographs. LPA reviewed facility records and completed a file review. Parents interviewed did not corroborate the allegations and expressed satisfaction with the care and supervision provided by this facility and had no concerns or comments regarding incidents made known to them by children in care.

CONT ON LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Betzayra Cervantes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2022
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-20220418091930
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: CISNEROS FAMILY CHILD CARE
FACILITY NUMBER: 566209616
VISIT DATE: 05/26/2022
NARRATIVE
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On 04/20/22, licensee reported that the Oxnard Police Department came to the licensee’s home to investigate the allegation that Child #1 was injured while in care. C1’s parent stated that he picked up his child from daycare and observed 3 scratch marks on his left cheek which were not there when he dropped off. Regarding the recent scratches from 4/15/22, RP asked happened and according to RP the licensee stated that "she did not know" and "she didn't see it." RP filed a police report with the Oxnard Police Department as a result.

According the police report, licensee stated that stated that she believed that the scratches could have possibly been caused by her jacket zippers on the jacket she was wearing. RP stated that C1 had scratched the left side of his cheek earlier in the week. The mother had recently cut the baby's nails and then trimmed them again after the first incident and they had been placing gloves on the baby's hands to avoid any further scratching. Licensee interview also stated that around 4:40pm -4:50pm, close to pickup time, she went to feed the baby, change its diaper, and began burping the baby. She held the baby up to her left chest area and put a towel down so she could burp the baby. She stated that her jacket, which had a zipper, possibly scratched the baby on the left cheek. She was unaware of any scratches when she handed the baby over to the father, who was at the door in a line behind other parents who were picking up their child. Statements given to the officer are consistent to the ones she gave to LPA. The status of the police report is currently closed. Detective Morales from the Oxnard Police Department asserted that there was not enough evidence/information for a criminal investigation and therefore the case was closed.

Based on LPA's observations and interviews which reveal that the scratches could have possibly been from the licensee's jacket, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. A Technical Advisory (LIC 9102) was given. Licensee was provided a copy of their appeal rights.

Exit Interview and report was reviewed in Spanish with licensee, Maria Cisneros.
A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Betzayra Cervantes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2