<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 421702506
Report Date: 04/28/2023
Date Signed: 04/28/2023 11:38:19 AM

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
02/14/2023 and conducted by Evaluator Gigi Reyes
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20230214140652
FACILITY NAME:CAC - MAGGIE ESPINOZA CENTERFACILITY NUMBER:
421702506
ADMINISTRATOR:ELVA QUINTANILLAFACILITY TYPE:
850
ADDRESS:120 TOGNAZZINI STREETTELEPHONE:
(805) 343-1695
CITY:GUADALUPESTATE: CAZIP CODE:
93434
CAPACITY:25CENSUS: 12DATE:
04/28/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Gabriela LanderosTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff pushed day care child resulting in injury.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On April 28, 2023, at 9:15 AM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannouced inspection at the above Child Care Center (CCC). to conclude the complaint investigation. LPA met with CCC
Lead Teacher, Gabriel Landeros and 3 other staff. There were 12 children and 3 staff present during the inspection. LPA asked pre screening questions related to COVID-19 and Lead Teacher' s responses indicate there are no COVID-19 exposure on site.

This report details the investigation into an unsubstantiated complaint against a child care center teacher/staff for allegedly pushing a child, resulting in injury. The complaint was reported on 2/14/2023, who alleged that the incident occurred on 2/10/2023.

As part of the investigation, the following actions were taken:
LPA interviewed Complainant on 2/16/2023 who reported that while the class was outside, Child #1 (C1) was on a tricycle and Staff #1 (S1) pushed C1. C1 sustained a scrape on the knee and another scrape and bruise on the shin.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023
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-20230214140652
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: CAC - MAGGIE ESPINOZA CENTER
FACILITY NUMBER: 421702506
VISIT DATE: 04/28/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
On 2/16/2023, and 4/28/2023 , LPA interviewed Staff # 1 and Staff # 2 Staff # 3 regarding the allegation Staff 1 pushed C1 while riding a tricycle. Staff 1 denied the allegation and stated that she was actually assisting C1 to get back to their chair. S1 explained that she placed her hand at the back of C1 and was guiding C1 to the chair. However, C1 twirled prior to sitting in the chair, and unfortunately C1 did not make it to the chair scraping their shin.

Staff # 2 (S2) witnessed the incident of C1 falling on the ground and corroborated S1's statement. S2 stated S1 was not pushing C1 and was actually trying to help. S2 further added that the fall was due to C1's twirling which caused them lose their balance and fall.

Staff # 3 who was in the the bicycle, scooter and tricycle pathway stated that she did not observe S1 pushing any child while riding a tricycle. S#3 added S#3 cannot recall C1 riding the tricycle.

LPA Reyes also interviewed parents of currently and previously enrolled day care children and none of the parents corroborated with the allegation.

Based on the investigation, the complaint allegation against Staff # 1 for pushing Child # 1 is unsubstantiated. Although the above 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 above allegation is Unsubstantiated.

Notice of Site Visit was issued. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY

Report was reviewed and exit interview was conducted with Gabrilela Landeros.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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