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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566212743
Report Date: 10/14/2021
Date Signed: 10/14/2021 10:01:54 AM

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
07/02/2021 and conducted by Evaluator Francisco Pedroza
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20210702143556
FACILITY NAME:CASTANEDA FCC AKA BABY LOO DAY CAREFACILITY NUMBER:
566212743
ADMINISTRATOR:CASTANEDA GRISELDA E.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 387-8479
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:14CENSUS: 8DATE:
10/14/2021
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Griselda CastanedaTIME COMPLETED:
10:05 AM
ALLEGATION(S):
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Personal Rights - Infant in care was hospitalized
INVESTIGATION FINDINGS:
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On October 14, 2021 at 9:25 AM, Licensing Program Analysts (LPAs) Francisco Pedroza and Dean Thompson conducted an unannounced inspection to conclude a complaint investigation. LPAs conducted Covid-19 screening questions prior to entering the facility. LPAs met with Licensee Griselda Castaneda and advised her the purpose of the inspection. Licensee provided LPAs a tour of the facility inside and out. There was eight (8) children in care at the time of the inspection.

Complaint received alleged “an infant in care was hospitalized”. The investigation was conducted by CCLD Investigation Bureau, Simi Valley Police Department, and Child Protective Services. On July 1, 2021 an infant in care became unresponsive and stopped breathing. Licensee started Cardiopulmonary Resuscitation (CPR) on the infant and called emergency services. The infant was transported to the hospital, stabilized, admitted for observation.

Continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
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-20210702143556
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: CASTANEDA FCC AKA BABY LOO DAY CARE
FACILITY NUMBER: 566212743
VISIT DATE: 10/14/2021
NARRATIVE
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The Nurses flow sheet revealed no harm or abuse on admission. The final hospital diagnosis revealed suspected COVID-19, hyperglycemia, a mixed acid balance, and pneumonitis. Child’s parent followed up with a neuro doctor who revealed it possible food allergies played a role and the Rhino Virus may have lingered in the child’s system impacting the airway. Statements and reports did not reveal evidence which support neglect/abuse caused the hospitalization.

The child has returned to the facility for care since being discharged from the hospital. Based on LPAs observations, CCLD Investigation Bureau, Simi Valley Police Department, and Child Protective Services and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the allegation(s): an infant in care was hospitalized, is found to be SUBSTANTIATED.

No deficiencies are being cited.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2