566214141-11-4-2024-17-CC-GNEE-DAPTUW-20241104140300

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566214141
Report Date: 11/04/2024
Date Signed: 11/04/2024 02:03:17 PM

Document Has Been Signed on 11/04/2024 02:03 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	EASTER SEALS VENTURA CDC		FACILITY NUMBER:	566214141
ADMINISTRATOR/ DIRECTOR:	CATHERINE RUTLEDGE		FACILITY TYPE:	850
ADDRESS:	10730 HENDERSON ROAD		TELEPHONE:	(805) 647-1141
CITY:	VENTURA	STATE: CA	ZIP CODE:	93004
CAPACITY: 122	TOTAL ENROLLED CHILDREN: 122	CENSUS: 44	DATE:	11/04/2024
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:40 PM
MET WITH:	Misbah Saad		TIME VISIT/ INSPECTION COMPLETED:	02:05 PM

NARRATIVE

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On 11/4/2024 Licensing Program Analyst (LPA) German Negrete made an unannounced visit for the purpose of conducting a Case Management - Incident inspection. LPA met with Center Director Misbah Saad, and discussed the purpose of the visit. During today’s inspection, LPA did a walk through of the Child Care Center(CCC) with Director. At the time of the inspection LPA observed 44 children and 5 staff providing care and supervision.

On 07/30/2024, Director contacted Community Care Licensing (CCL) to self-report the following unusual incident : at approximately 9:15 AM during transition from indoors to outdoors, C#1 followed children to the playground and then was left alone outside. C#1 was between the preschool play ground gate entrance and the class room #2 door- entrance(see LIC812.) Another teacher noticed that a child was left unattended for allegedly 1-2 minutes. Afterwards, the teacher brought C#1 inside their own classroom and then took C#1 to the playground. According to director the ratio at the time of the incident was 19 children with 4 teachers providing care and supervision.

The Unusual Incident Report (LIC624) was received on 08/04/2024 via email, therefore the CCC followed the appropriate time frame for submitting a written LIC624, as outlined in Title 22 California Code of Regulations. Continued on LIC809-C

Ana Tolentino	TELEPHONE: (805) 218-0429
German Negrete	TELEPHONE: 805-315-8362
	DATE: 11/04/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: EASTER SEALS VENTURA CDC	FACILITY NUMBER: 566214141
	VISIT DATE: 11/04/2024

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During the course of the investigation LPA conducted staff interviews, and parent interviews. LPA also reviewed records such as children’s roster, staff roster. Also LPA reviewed face recognition document(see LIC812), a copy of the policy memo document, and the CCC staff hand book(see LIC812). The aforementioned memo references Title 22 California Code of Regulations section 101229. Finally LPA received a employee expectation review document that was signed by the three staff members who were involved in the 07/30/2024 incident.

The staff interview revealed, how S#1 was organizing eight children in a line inside classroom#2. S#1 was walking/transitioning the children from the classroom to the outside preschool playground. C#1 was not intended to walk outside with the other eight children. S#1 was unaware C#1 walking outside classroom#2 during transition. As S#1 walked eight children out side, S#1 was focused on C#2. According to S#1, C#2 has a habit of running off and not waiting for staff’s instructions. S#1 asked S#3 to please get C#2’s attention and ask the child to return to the line. S#1 left the door to classroom#2 open and once C#2 returned to the line with the rest of the children, S#1 proceeded to take eight children to preschool playground. S#1 stated she was in close proximity of C#1 but was unaware C#1 was outside.

Additionally staff interviews revealed, S#3 was in room#1 providing care and supervision to other children. S#3 confirmed she heard a noise outside Classroom#1’s door. Then S#3 saw the door knob turn, S#3 opened the door(classroom#1) and saw C#1 outside alone with no supervision from staff (see LIC812).

Continued on LIC809-C

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 218-0429
LICENSING EVALUATOR NAME: German Negrete	TELEPHONE: 805-315-8362
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: EASTER SEALS VENTURA CDC	FACILITY NUMBER: 566214141
	VISIT DATE: 11/04/2024

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The parent interview revealed, how director contacted/notified the parent(P#1) of C#1 via telephone. According to P#1, director informed P#1, that C#1 went into the wrong classroom and C#1 got “misplaced”. According to P#1 director did not provide a written incident report to the parents of C#1.

The department has determined the child was left without supervision for approximately 1 minute there for the facility did not follow Title 22 California Code of Regulations section 101229 (a)(1) facility will receive a type B citation (see LIC809-D).

Appeals rights were provided.

Exit interview conducted, report was read to director.

Notice of site visit was provided.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 218-0429
LICENSING EVALUATOR NAME: German Negrete	TELEPHONE: 805-315-8362
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/04/2024 02:03 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: EASTER SEALS VENTURA CDC	FACILITY NUMBER: 566214141
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/04/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/08/2024 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	(a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision .... this regulaiton was not met ..	1 2 3 4 5 6 7	The staff involved in the incident on 7/30/2024 will have to watch a video pertaining to care and supervision at child care centers. Once the staff watch the videos they will write a summary of what they learned. staff will submitt this summary to CCLD via the following email:
	8 9 10 11 12 13 14	Due to incident that occured on 7/30/2024, when S#1 transitioioned 8 children fromt the classroom to the preschool play ground, C#1 accidently leaft classroom#2, and C#2 was left outside during transitioning with out care and supervision.	8 9 10 11 12 13 14	German.Negrete@dss.ca.gov The folliwing link will take aformetioned staff toe the video/webpage. https://ccld.childcarevideos.org/child-care-center-operators/
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Ana Tolentino	TELEPHONE: (805) 218-0429
LICENSING EVALUATOR NAME: German Negrete	TELEPHONE: 805-315-8362
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024

LIC809 (FAS) - (06/04)

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