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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566215609
Report Date: 08/01/2024
Date Signed: 08/01/2024 02:07:47 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
05/14/2024 and conducted by Evaluator Laura Villanueva
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20240514165720
FACILITY NAME:GONZALEZ FCC AKA LULU DAY CAREFACILITY NUMBER:
566215609
ADMINISTRATOR:BLANCA L. GONZALEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 612-3481
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:14CENSUS: 7DATE:
08/01/2024
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Blanca L. GonzalezTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Licensee did not notify day care child's authorized representative of incident involving child
INVESTIGATION FINDINGS:
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On August 1, 2024 at 1:30 PM Licensing Program Analyst (LPA) Laura Villanueva conducted an unannounced inspection to conclude the investigation for the above allegation. LPA met with Licensee, Blanca L Gonzalez and explained the purpose of the visit. LPA conducted a tour of the facility inside and outside with Licensee. LPA observed a total of 7 children under the care and supervision of licensee and 2 Assistants.

Complaint investigation included LPA visits on 05/14/24 and 05/17/2024, Licensee, Assistant, parent interviews, and child interviews. Parents interviewed with children currently enrolled are satisfied with the care and supervision of their children while in care. Licensee admitted that she was involved in a car accident with no injuries. Licensee is unsure of the date. Licensee stated that a car backed up into her car. Licensee and 1 child care child were in the vehicle. Licensee stated that the child's parent was informed. Incident did not involve child in allegation. LPA asked if Licensee submitted an LIC624B Unusual incident report to
CONTINUED ON LIC809C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
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 2
Control Number 17-CC-20240514165720
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: GONZALEZ FCC AKA LULU DAY CARE
FACILITY NUMBER: 566215609
VISIT DATE: 08/01/2024
NARRATIVE
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 inform the Department of the incident. Licensee stated that she did not know a report was necessary due to no children needing medical attention. LPA advised Licensee to complete a written LIC624B and submit to the Department by 08/02/2024. Licensee will submit a Police report and insurance report. LPA gave Licensee a copy the the form.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Notice of Site Visit (LIC9213) will be posted. The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Appeal right given LIC9058. No citations issued.

Exit interview conducted with licensee, Blanca L. Gonzalez and a copy of this report was reviewed and given.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2