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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566215650
Report Date: 05/28/2025
Date Signed: 05/28/2025 06:31:49 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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
03/05/2025 and conducted by Evaluator German Negrete
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20250305121233
FACILITY NAME:EASTER SEALS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
566215650
ADMINISTRATOR:REBECCA KLAMSERFACILITY TYPE:
830
ADDRESS:10730 HENDERSON ROADTELEPHONE:
(805) 647-1141
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY:28CENSUS: 9DATE:
05/28/2025
UNANNOUNCEDTIME BEGAN:
03:53 PM
MET WITH:Heather GuerreroTIME COMPLETED:
06:40 PM
ALLEGATION(S):
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Staff handled daycare child in a rough manner resulting in child's arm ligament dislocating.
INVESTIGATION FINDINGS:
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On 5/23/2025, Licensing Program Analysts(LPA) German Negrete conducted an unannounced inspection of the Easter Seals Child Care Center(CCC) to deliver the findings of the above mentioned complaint allegation . LPA met with Area Director Heather Guerrero, and Educational Manager Alchai Jones, and toured the center inside and out. LPA observed 9 infants and 4 staff-members providing care and supervision.

The investigation included reviewing unusual incident reports(UIRS), infant files and infant sleep logs. LPA conducted interviews of staff, and of parents of both current and previously enrolled infants. Also LPA observations from two facility inspections are included in this investigation. Additionally LPA reviewed staff statements and CCC documents pertaining to personal rights of infants.

Regarding the allegation, Staff handled daycare child in a rough manner resulting in child's arm ligament dislocating. LPA interviewed multiple parents of infants previously and currently enrolled. The interviews revealed most parents have not observed a staff handle a child a in rough manner. (Cont on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
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-20250305121233
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 566215650
VISIT DATE: 05/28/2025
NARRATIVE
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Two parents did state their children have received a unusual injury while in care. However, most parents stated they are satisfied with the care and supervision their children/infants receive at the CCC.

LPA reviewed Unusual incidents that were self reported to the department. LPA discovered one unusual incident that was self reported to the department on 03/05/25. This incident occurred on 03/04/25, and the following was reported: at approximately 12:50PM after nap time, teacher took C1 out of crib and tried to feed C1, C1 did not want bottle, S3 tried to give toy. S3 noticed C1 wasn't moving left hand as usual, staff observed for a while longer and C1 wasn't using left arm at all. According to S3 there were no marks or bruising on the arm.

As mentioned LPA reviewed staff statements pertaining to the 03/04/25 incident. The staff statements revealed C1 was napping and it wasn’t until C1 woke up from nap that S3 noticed C1 could not move left arm. Also LPA reviewed C1 infant sleep logs for the date of 03/04/2025, the infant sleep logs revealed S3 was the staff who conducted the 15 minute check. However the infant sleep log has a wake up time of 12:50pm, not 12:30pm.

LPA interviewed staff. Both of S3 and S4 stated how S3 and S4 did provide supervision to C1 on 3/4/2025 and how S3 noticed C1 in discomfort, crying at approximately 12:50PM. S3 informed S4 of C1's condition once S4 returned from Lunch. S4 contacted parent at approximately 1:30PM. In total LPA interviewed three infant staff, two out of the three staff stated they have not received training from the CCC on how to handle infants, however LPA reviewed addendum regarding personal rights that was signed by the aforementioned staff. Additionally, staff stated, how staff should have notified management regarding C3 condition sooner.

LPA reviewed CCC document titles “Standard of Conduct Addendum”, this pertaining to children’s/ infant’s personal rights as outlined in title 22. LPA also reviewed a copy of C1 medical report, which states C1 received nursemaid elbow,(ligament slipped out of place). According to the medical report, this injury can occur when an adult pulls on a child’s arm causing the ligament to slip out of place (see LIC812).

LPA interviewed parent of C1. through a signed declaration, LPA discovered C1 was not in any pain or discomfort at home before being dropped off at the CCC. Parent stated there is a lack of supervision at CCC.

Based on LPAs' observations, interviews, and documents collected during the investigation, the preponderance of evidence standard has been met. Therefore, Allegation #1 SUBSTANTIATED. California Code of Regulations, Title 22, is being cited on the attached LIC 9099D.

Exit interview conducted and report was reviewed with Area Director Heather Guerrero and Educational manager Educational Manager Alchai Jones Notice of site visit and appeal rights were provided.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 17-CC-20250305121233
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 566215650
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/06/2025
Section Cited
CCR
101223(a)(2)(3)
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(a) The licensee shall ensure that each child is accorded the following personal rights:
(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
(3) To be free from corporal or unusual punishment, infliction of pain,
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infant staff will review perosnal rights addendum. The signed addendum will be submitted to the department.

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Based on interviews and documents collected. The above regulation was not met C1 received a injury while attending the CCC on 3/4/2025. Mutiple witnesses osberved C1 in discomfort after waking up from nap. Aditionally Staff sated, they should have notified management sooner.
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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: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3