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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566215335
Report Date: 06/29/2023
Date Signed: 06/29/2023 05:00:40 PM

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
05/22/2023 and conducted by Evaluator Laura Villanueva
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20230522092408
FACILITY NAME:FUSD - SESPE PRE SCHOOLFACILITY NUMBER:
566215335
ADMINISTRATOR:LORENA RAMOSFACILITY TYPE:
850
ADDRESS:627 SESPE AVETELEPHONE:
(805) 524-8202
CITY:FILLMORESTATE: CAZIP CODE:
93015
CAPACITY:48CENSUS: 13DATE:
06/29/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Lorena RamosTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff did not provide adequate supervision to child in care.
Staff not meeting child needs.
INVESTIGATION FINDINGS:
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 AMENDED REPORT
On June 29, 2023 at 09:30 AM Licensing Program Analyst (LPA) Laura Villanueva made an unannounced inspection to conclude the investigation for the above allegations. LPA met with Program Director, Lorena Ramos and explained the purpose of the visit. LPA conducted a tour of the facility inside and outside. LPA observed a total of 13 children under the care and supervision of 3 staff.

LPA interviewed Program Director, staff, and parents. The incident was reported to the Department and a witten LIC624 unusual incident/injury report on 5/22/2023. At enrollment on 12/12/2022. C1's mother wrote a statement stating she would support her child change her soiled clothing untill fully potty trained. The mother was called on each incident. In C1's admission agreement there is not a disclosre of a child being fully potty trained to enroll in program. C1 was in the restroom and staff coached her to clean herself up. On some occassions C1's sibling took her sister to the restroom. Staff need to supervise children at all times without another child assisting. Staff are not trained in diapering procedures.

Continued on LIC9099C





Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
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 3
Control Number 17-CC-20230522092408
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: FUSD - SESPE PRE SCHOOL
FACILITY NUMBER: 566215335
VISIT DATE: 06/29/2023
NARRATIVE
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They were not able to physically assist child. Diapering is not in the staff's job description. C1's needs were not met with staff not assisting with soiled clothing.

Based on LPA observations, interviews conducted with staff /parents and documentation, the preponderance of evidence standard has been met. Therefore, the above allegations are found to be SUBSTANTIATED. A type B violation was issued in section Responsibility for care and supervision 101229(a)(1). A type B violation was issued in section Personal Rights 101223(a)(1). Two type B deficiencies were cited under Title 22 Division 12. Appeal rights given.

Exit interview conducted with Program Administrator. A copy of the Appeal Rights (LIC 9058 FAS 01/16) were given and explained. Program Director's signature on this form acknowledges receipt of these rights.

Please refer to LIC9099D for documentation of deficiencies cited:

A notice of site visit was given.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 17-CC-20230522092408
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: FUSD - SESPE PRE SCHOOL
FACILITY NUMBER: 566215335
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/29/2023
Section Cited
HSC
101223(a)(1)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
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Lorena Ramos, Program Director has amended the admission agreement to include: I understand that children need to be potty trained to attend preschool. Parents are to initial that statement at the time of enrollment.
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C1 was left in soiled clothes in the restroom for about 30 minutes until mother arrived to help clean her up. Mother cleaned and dressed child in fresh clothing. Staff did not provide assistance. This poses a potential risk to children in care.
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Type B
06/29/2023
Section Cited
HSC
101223(a)(1)
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101229 Responsibility for Providing Care and Supervision-(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...shall include visual observation.
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Lorena Ramos, Program Director had a staff development week with all staff to review supervision and other topics with staff. On June 12, 2023 to June 16, 2023.
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This requirement was not met as evidenced by: C1 was left in the restroom with older sibling on different occasions. Staff needed to have a visual view of child while she was in the restroom. Sibling was not responsible for supervision.
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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.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3