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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566210581
Report Date: 08/22/2024
Date Signed: 08/22/2024 11:01:26 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
05/17/2024 and conducted by Evaluator Aaliyah Zendejas
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20240517104706
FACILITY NAME:NOTRE DAME LEARNING CENTERFACILITY NUMBER:
566210581
ADMINISTRATOR:SISTER CAROL MARIE PAPETFACILITY TYPE:
850
ADDRESS:1776 HENDRIX AVE.TELEPHONE:
(805) 494-0304
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY:50CENSUS: 12DATE:
08/22/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Sister Carol Papet TIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Staff failed to prevent inappropriate interaction between children.
INVESTIGATION FINDINGS:
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On August 22, 2024 Licensing Program Analysts (LPA) Aaliyah Zendejas and Shane Loftus conducted an unannounced visit to deliver the findings of the above mentioned allegations. LPA met with licensee sister Carol Papet and advised her of the purpose of the inspection. Together with the licensee, LPAs toured the interior and exterior of the facility. At the time of the inspection, there were 12 children under the care and supervision of four staff members.
CCLD received a complaint regarding the above mentioned allegation. After conducting staff and parent interviews, interviews highlighted that there is no record of inappropriate interactions occuring between children. LPA also did not observe any record of inappropriate interactions between children during visits on May 20, 2024 and August 22, 2024.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
Exit interview conducted and report reviewed with licensee Sister Carol Papet
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lissete GonzalezTELEPHONE: (805) -56-0400
LICENSING EVALUATOR NAME: Aaliyah ZendejasTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
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 4
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
05/17/2024 and conducted by Evaluator Aaliyah Zendejas
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20240517104706

FACILITY NAME:NOTRE DAME LEARNING CENTERFACILITY NUMBER:
566210581
ADMINISTRATOR:SISTER CAROL MARIE PAPETFACILITY TYPE:
850
ADDRESS:1776 HENDRIX AVE.TELEPHONE:
(805) 494-0304
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY:50CENSUS: 12DATE:
08/22/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Sister Carol Papet TIME COMPLETED:
11:20 AM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Facility failed to report Unusual Incident to CCL.
Staff Failed to prevent C1 from hitting other children.
INVESTIGATION FINDINGS:
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On August 22, 2024 Licensing Program Analysts (LPA) Aaliyah Zendejas and Shane Loftus conducted an unannounced visit to deliver the findings of the above mentioned allegations. LPA met with licensee sister Carol Papet and advised her of the purpose of the inspection. Together with the licensee, LPAs toured the interior and exterior of the facility. At the time of the inspection, there were 12 children under the care and supervision of four staff members.
CCLD received a complaint with two allegations stating, facility failed to report unusual incident to CCL, and that facility failed to prevent C1 from hitting other children. Upon arrival to the facility on May 20, 2024 LPA Zendejas noticed C1 fighting with another child. Staff quickly disconnected the two but LPA heard one of the children being referred by C1's name. Upon interview with staff and record review, there is documentation that C1 does indeed hit other children. LPA reviewed facility file and interviewed staff and neither file review or interview indicated that certain incidents were being reported to CCL. LPA advised staff during visit on May 20, 2024 and again on August 22, 2024 about reporting requirements and provided licensee with regulations regarding reporting requirements. CON'D ON 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lissete GonzalezTELEPHONE: (805) -56-0400
LICENSING EVALUATOR NAME: Aaliyah ZendejasTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 17-CC-20240517104706
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: NOTRE DAME LEARNING CENTER
FACILITY NUMBER: 566210581
VISIT DATE: 08/22/2024
NARRATIVE
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Based on LPAs observations, 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.
SUPERVISOR'S NAME: Lissete GonzalezTELEPHONE: (805) -56-0400
LICENSING EVALUATOR NAME: Aaliyah ZendejasTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 17-CC-20240517104706
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: NOTRE DAME LEARNING CENTER
FACILITY NUMBER: 566210581
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/05/2024
Section Cited
CCR
101212(d)(1)(C)
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101212: Upon the occurrence, during the operation of the child care center... a report shall be made to the Department... (1)Events reported shall include the following: (C) Any unusual incident... that threatens the physical or emotional health or safety of any child. This requirement was not met as evidence by:
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All staff is to review title 22 regulations regarding reporting requirements and go into the next school year knowing what is appropriate to report and what is not. Submit form to LPA with signature from each staff indicating they read the requirement.
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Based on LPA interview and record review, the licensee did not comply with the section cited as LPA has been told of incidents that occurred within the facility that needed to have been reported to CCL which poses/posed a potential health, safety or personal rights risk to persons in care.
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Type B
09/05/2024
Section Cited
CCR
101223(a)(3)
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101223(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... This requirement was not met as evidence by:
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Staff is to read through the regulations regarding personal rights and implement a plan on how they will make sure they are meeting each child's personal rights and provide to the LPA.
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Based on LPA interview and observation, the licensee did not comply with the section cited as LPA observed a child hitting another and obtained knowledge of incidents through interview which poses/posed a potential health, safety or personal rights risk to persons 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.
SUPERVISOR'S NAME: Lissete GonzalezTELEPHONE: (805) -56-0400
LICENSING EVALUATOR NAME: Aaliyah ZendejasTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4