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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426210198
Report Date: 06/24/2021
Date Signed: 06/24/2021 10:13:45 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
03/26/2021 and conducted by Evaluator Christian Patterson
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20210326110703
FACILITY NAME:ISLA VISTA CHILDREN'S CENTERFACILITY NUMBER:
426210198
ADMINISTRATOR:FRANKY VIVEROSFACILITY TYPE:
850
ADDRESS:6842 PHELPS RD.TELEPHONE:
(805) 968-0488
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY:66CENSUS: 17DATE:
06/24/2021
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Erika MaldonadoTIME COMPLETED:
10:20 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Children in care are having inappropriate interactions
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 06/24/21 at 9:10am, Licensing Program Analyst (LPA) Christian Patterson made an unannounced inspection regarding the above allegations. LPA Patterson met with Director Erika Maldonado and delivered the findings of the complaint investigation.

Investigation included interviewing the Director, staff, parents of children in care, and review of pertinent documents. LPA requested a roster of children in care along with parent contact information. LPA also requested staff contact information. Reporting party stated that while in care, lack of supervision resulted in children at the facility having inappropriate interactions.

Interviews with Director and staff did not corroborate this allegation. Interviews with parents of children in care did not corroborate the allegation. Although the allegation may have occurred, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore, the allegation listed above is deemed UNSUBSTANTIATED. The LIC9213 (Notice of Site Visit) was posted during the visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Christian Patterson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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