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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566209645
Report Date: 10/04/2024
Date Signed: 10/24/2024 09:37:45 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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
08/20/2024 and conducted by Evaluator David Roman
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20240820091405
FACILITY NAME:PEREA-SALAS FAMILY CHILD CAREFACILITY NUMBER:
566209645
ADMINISTRATOR:ARCELI PEREA-SALASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 278-0997
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY:14CENSUS: 6DATE:
10/04/2024
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Araceli Perea SalasTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Daycare child sustained unexplained injuries while in care.
INVESTIGATION FINDINGS:
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On October 04, 2024 at 1:45 PM Licensing Program Analysts (LPA) David Roman (D. Roman) conducted an unannounced inspection to conclude the investigation for the above allegations. LPA met with Licensee, Araceli Perea Salas and explained the purpose of the visit. LPA conducted a tour of the facility inside and outside with Licensee. LPA observed 6 children with 2 staff including the Licensee.

The investigation included LPA inspection visit on 08/28/2024, staff interviews, review of staff/children's files, and parent interviews conducted on 09/30/2024. Parents reported being satisfied with the care and supervision of their children. Staff interviewed expressed following standards pertinent to regulations and procedures.


Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: David Roman
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2024
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-20240820091405
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: PEREA-SALAS FAMILY CHILD CARE
FACILITY NUMBER: 566209645
VISIT DATE: 10/04/2024
NARRATIVE
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Although the allegation may have happened or maybe valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Notice of Site Visit (LIC9213) will be posted. The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Appeal right given LIC9058. No citations issued.

Exit interview conducted with Licensee, Araceli Perea Salas and a copy of this report was reviewed and given.
SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: David Roman
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2