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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566216029
Report Date: 07/28/2023
Date Signed: 07/28/2023 03:01:52 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 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
05/12/2023 and conducted by Evaluator Daniel Venegas
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20230512110429
FACILITY NAME:ADVENTIST EDUCATION SIMI VALLEY PRESCHOOLFACILITY NUMBER:
566216029
ADMINISTRATOR:TAMMY GRODTFACILITY TYPE:
850
ADDRESS:1636 SINALOA RD.TELEPHONE:
(805) 210-8353
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY:30CENSUS: 11DATE:
07/28/2023
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Administrator Tammy GrodtTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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1) Daycare child sustained a diaper rash while in care.
2) Staff neglected daycare child while in care.
3) Staff left daycare child unattended in soiled diaper for extended periods of time.
INVESTIGATION FINDINGS:
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On July 28, 2023, at 1:30 PM, Licensing Program Analysts (LPAs) Daniel Venegas and Laura Villnueva made an unannounced inspection to conclude the investigation of the above mentioned allegations. LPA's met Tammy Grodt, Director of the above Child Care Center (CCC). LPA explained the nature of the inspection and toured both the interior and exterior of the CCC. LPAs observed 11 children present with 3 staff providing care and supervision.

Complaint received alleged "Daycare child sustained a diaper rash while in care; Staff neglected daycare child while in care; Staff left daycare child unattended in soiled diaper for extended periods of time". Complaint investigation included two unannounced inspections/visits, during these two inspections LPAs did not observe any evidence corroborating the above allegations. Staff stated they change diapers as needed. LPA interviewed and received written statements from staff denying above allegations. Parents interviewed were satisfied with the care and supervision at this facility. Staff have implemented a
CONTINUED ON LIC 9099
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Daniel Venegas
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023
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 2
Control Number 17-CC-20230512110429
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: ADVENTIST EDUCATION SIMI VALLEY PRESCHOOL
FACILITY NUMBER: 566216029
VISIT DATE: 07/28/2023
NARRATIVE
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a diaper changing and toilet training log as a preventative measure to document regular and frequent diaper changes..

Although these allegations may have occurred, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore, the allegations listed above are deemed UNSUBSTANTIATED.

No deficiencies were cited during today's visit. Appeal right given.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the director,Tammy Grodt.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Daniel Venegas
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2