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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426214409
Report Date: 07/15/2024
Date Signed: 07/15/2024 04:30:10 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
04/19/2024 and conducted by Evaluator German Negrete
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20240419161004
FACILITY NAME:VILLAGE VALLEY PRESCHOOLFACILITY NUMBER:
426214409
ADMINISTRATOR:MARIA E. ANGULOFACILITY TYPE:
850
ADDRESS:3346 CONSTELLATION ROADTELEPHONE:
(805) 733-7330
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:32CENSUS: 10DATE:
07/15/2024
UNANNOUNCEDTIME BEGAN:
09:52 AM
MET WITH:Carissa. AnguloTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Allegation #1. Failure to Report Incident
Allegation #2. Out of Ratio.
INVESTIGATION FINDINGS:
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On 07/15/2024, Licensing Program Analysts (LPAs) German Negrete and Sylvia Ceja conducted an unannounced inspection at the Village Valley Preschool to deliver the findings of the above mentioned complaint allegations received on 4/19/2024 . LPAs met with Director Maria Angulo and Carissa Angulo during the visit. LPAs explained the purpose of the inspection. LPAs toured the preschool inside and out. The ratio at the time of the inspection was Director and two staff providing care and supervision to 10 children.

In regards to Allegation#1 : Failure to report incident. The investigation included Interviews with parents and staff. Children's files, copys of emails from parents and ouch reports/unusual incident reports were received and reviewed by the department.

Parent interviews revealed there was an incident on 03/27/2024, at approximately 10:40AM, when child #4 was inappropriately pushed against the fence by child #3 and placed his hands on child #4. Parent of child #3 was contacted regarding the incident. Continued on LIC812-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024
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 5
Control Number 17-CC-20240419161004
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: VILLAGE VALLEY PRESCHOOL
FACILITY NUMBER: 426214409
VISIT DATE: 07/15/2024
NARRATIVE
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 Parent of child #4 stated she was not informed of the incident when it occurred. Parent stated staff discussed the incident with her after she brought it to their attention. An ouch report was signed on 04/18/2024 by parent of child #4. According to the ouch report, staff #3 separated the two children.

Staff interviews revealed evidence of the incident on 03/27/2024 involving C#4 and C#3. Parent of C#4 was not contacted after the incident occurred at 10:40AM. Staff stated the "ouch report" was given and signed by parent on 4/18/2024, this puts the preschool in violation of Title 22 requirements section 101226.3 Observations of the Child (see LIC9099-D).

Also staff interviews and documents collected revealed another incident that occurred on 5/17/2024. On 5/17/2024 C#15 walked out-side the preschool gate and into the the court yard near benches. C#15 was in the court yard for about 2 to 3 minutes. Child was spoken to by Staff#2 and staff#5 and was informed to return to the preschool(see LIC812). A email from parent to the facility clearly stated safety concerns and a pattern of eloping behavior from C#15. This incident or any pattern of eloping behavior from C#15 was never reported to Child Care Licensing. The Department has found the preschool is in violation of Reporting Requirements and Observation of the Child Title 22, Division 12, Chapter 1 Article 06 of the California Code of Regulations Section 101212 (See LIC9099-D)

Regarding the allegation #2, Operating out of ratio. LPAs interviewed multiple parents. The interviews revealed most parents indicated they were not allowed to enter the preschool. Parent interviews also revealed most parents are not satisfied with the level of care their child received at the preschool. Also the investigation included obtaining employee monthly schedules for March, April May, June, and July 2024, children sign in/out sheets for the month March, April, May, and June 2024. LPAs also obtained written statements in regards to the facility being out of ratio. These written statements, monthly calendars and monthly sign in/sign out sheets have been used as evidence to support claim of the facility being out of ratio on 04/16/2024, 04/18/2024, and 05/10/2024.

On 04/16/2024, there were up to 29 children documented to be in care at the preschool. The monthly employee schedules and statements revealed the preschool had one teacher and 3 aides providing care and supervision on 04/16/2024. The facility was in violation on 4/16/2024 from 8:25am to 10:29AM.

Continued on LIC812-C
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 17-CC-20240419161004
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: VILLAGE VALLEY PRESCHOOL
FACILITY NUMBER: 426214409
VISIT DATE: 07/15/2024
NARRATIVE
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On 04/18/2024, there were up to 26 children documented to be in care at the preschool. The monthly employee schedules and statements revealed the preschool had one teacher and 1 aide providing care and supervision on 4/18/2024 to 16 children until the aide left, leaving the teacher alone with up 16 children until a staff returned. The facility was in violation on 4/18/2024 from approximately 12:30PM- 1:30PM.

On 5/10/2024 there were up to 24 children documented to be in care from 8:50am to 11:30am. The monthly employee schedule for 05/10/2024 revealed the preschool had 4 staff providing care and supervision during a celebration. Furthermore on 5/10/2024 from 11:15 to 12:20 there were up to 24 children at the facility. On 5/10/2024, between 10:45AM - 11:15AM, Director and teacher and aide left. Two staff (teacher and aide) were supervising up to 24 children until staff #3 (11:15AM - 11:45AM) returned from 30 minute lunch. The facility was in violation on 5/10/2024 for approximately 30 minutes.

Based on LPAs observations, interviews, documents collected during investigation, the preponderance of evidence standard has been met, therefore Allegation#1 and Allegation#2 are found to be SUBSTANTIATED. California Code of Regulations, (Title 22) are being cited on the attached LIC 9099D.”

A civil penalty of $250.00 dollars will be assessed today for failure to correct a repeat violation.
Another civil penalty of $250.00 dollars will be assessed today for failure to correct a repeat violation.

Exit Interview conducted and report was reviewed with Teacher Carissa Angulo.
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Notice of Site Visit and appeal rights were issued.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 17-CC-20240419161004
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: VILLAGE VALLEY PRESCHOOL
FACILITY NUMBER: 426214409
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/15/2024
Section Cited
CCR
101212(d)(1)
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Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such
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The preschool needs to call the OD line and report the incident that occured on 03/27/2024 and incident that occured on 5/17/2024. Also Director needs to submit a written incident report to the department unusual incident email
UnusualIncidentReportsDO17@dss.ca.gov
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This requirement was not met based on documents collected and interview with the staff who stated there was a incident on 3/27/2024, between C#3 and C#4. Documents collected revealed a incident on 5/17/2024, when C#15 was able to exit the the preschool through an open gate. Staff did stop C#15 at the bench.
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Type A
07/15/2024
Section Cited
CCR
101226.3(b)
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Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record.
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 Director will submit a plan outlining how the preschool will follow Tittle 22 section 101226.3. The dicrector will submit a plan via email to: german.negrete@dss.ca.gov
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This requirement was not met based on interviews and documents collected in regards to incident that occured on 3/27/2024. The parent of C#4 was not made aware of the incident when it occurred and was provided ouch report on 4/18/2024 which is signed by parent dated 4/18/2024.
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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: 07/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 17-CC-20240419161004
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: VILLAGE VALLEY PRESCHOOL
FACILITY NUMBER: 426214409
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/15/2024
Section Cited
CCR
101216.3(b)
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The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance.

this requirement was not met as evidence by...
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The facility will submit a plan immidiately via email to german.negrete@dss.ca.gov. This plan will outline how the facility will stay in compliance with teacher to child ratio.
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document review for 04/16/2024, 04/18/2024, and 5/10/2024, the preschool was found to be out of ratio compliance.
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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: 07/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5