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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566215196
Report Date: 11/21/2022
Date Signed: 11/21/2022 02:04:12 PM

Unsubstantiated


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
11/16/2022 and conducted by Evaluator Francisco Pedroza
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20221116110642
FACILITY NAME:PHOENIX RANCH SCHOOL & CAMP (WEST CAMPUS)FACILITY NUMBER:
566215196
ADMINISTRATOR:VICTORIA DE LEONFACILITY TYPE:
850
ADDRESS:4974 COCHRAN AVE.TELEPHONE:
(805) 527-7764
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:225CENSUS: 116DATE:
11/21/2022
UNANNOUNCEDTIME BEGAN:
11:41 AM
MET WITH:Victoria De LeonTIME COMPLETED:
02:18 PM
ALLEGATION(S):
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Personal Rights - Staff is not providing sanitary and healthful activities for day care children in care.
INVESTIGATION FINDINGS:
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On November 21, 2022 at 11:41 AM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced inspection to initiate and conclude a complaint investigation. LPA met with facility Director Victoria De Leon and advised her the purspose of the inspection. Director provided LPA a tour of the facility. There was 116 children in care at the time of the inspection.

Allegation stated staff is not providing sanitary and healthful activities for day care children in care. LPA conducted one (1) unannounced inspection and toured the facility. During the course of the investigation, LPA interviewed facility Director and spoke with classroom teachers. LPA confirmed with Director and staff that they recently conducted a holiday arts and crafts activity with children. Teacher(s) requested parents to send empty toilet paper rolls to school with their children for a classroom project. The children were making holiday turkey's using the empty toilet paper rolls. LPA addressed current Covid-19 requirements and the spread of germs.

Continued 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2022
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-20221116110642
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: PHOENIX RANCH SCHOOL & CAMP (WEST CAMPUS)
FACILITY NUMBER: 566215196
VISIT DATE: 11/21/2022
NARRATIVE
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LPA spoke with staff about communication with parents and recommended best practices for future. It was determined when requesting donated personal items like empty toilet paper rolls, the facility will store the item(s) in a way to minimize any cross contamination such as storing the item(s) in a bag marked with the child's name. Additionally communicating with the parents the specific item(s) will only be used by the child that brought it.

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. Facility will be receiving a technical advisory.

No deficiencies cited during today's inspection.

A closing interview was conducted with Director De Leon. Director provided Appeal Rights.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2022
LIC9099 (FAS) - (06/04)
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