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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566214141
Report Date: 05/24/2022
Date Signed: 05/24/2022 12:22:14 PM

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
03/18/2022 and conducted by Evaluator Austin Rios
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20220318120855
FACILITY NAME:EASTER SEALS VENTURA CDCFACILITY NUMBER:
566214141
ADMINISTRATOR:REBECCA KLAMSERFACILITY TYPE:
850
ADDRESS:10730 HENDERSON ROADTELEPHONE:
(805) 647-1141
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY:122CENSUS: 61DATE:
05/24/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Catherine RutledgeTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Lack of Supervision-Daycare child sustained fracture while in care
INVESTIGATION FINDINGS:
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On May 24, 2022 at 10:00 AM Licensing Program Analyst (LPA) Austin Rios conducted an unannounced inspection to conclude a complaint investigation. LPA met with Site Director Catherine Rutledge and explained the nature and the purpose of the inspection. LPA asked Covid-19 screening questions prior to entering the facility. Director provided LPA a tour of the facility inside and out. There were 61 children in care at the time of the inspection. The department obtained allegations that daycare child sustained fracture while in care.

On 3/17/2022 child (C1) in care at the facility sustained a broken clavicle. The facility contacted the child's parents who took their child to seek medical attention. The child was picking strawberries on the playground when C1 fell and broke clavicle bone on strawberry bed. Investigation included two unannounced inspections. Interviews were conducted with Complainant, Parents of children in care, staff, and children. LPA obtained documentation of previous incident reports and roster. Children interviewed did not corroborate the allegations. There was adequate staffing when the incident occurred, and no concerns were stated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
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-20220318120855
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: EASTER SEALS VENTURA CDC
FACILITY NUMBER: 566214141
VISIT DATE: 05/24/2022
NARRATIVE
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Parents interviewed expressed satisfaction with the care and supervision provided by this facility and did not have concerns or comments regarding incidents made known to them by children in care.

Staff observed the child (C1) crying and favoring her clavicle. Based on Staffs observations, it was determined C1 needed medical attention. Staff contacted the child's parents who arrived shortly thereafter and took their child to seek medical attention. Staff took immediate action to meet the needs of the child. Although the allegation may have happened or is valid, there is no preponderance of evidence therefore the allegation has been deemed UNSUBSTANTIATED.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2