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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214141
Report Date: 06/16/2023
Date Signed: 06/16/2023 02:07:24 PM

Document Has Been Signed on 06/16/2023 02:07 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
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: 122TOTAL ENROLLED CHILDREN: 122CENSUS: 89DATE:
06/16/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:43 AM
MET WITH:Catherine RutledgeTIME COMPLETED:
01:00 PM
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On 06/16/23, Licensing Program Analysts (LPAs) Giovani Gonzalez and German Negrete made an unannounced visit for the purpose of conducting a Case Management inspection. LPAs met with Director Catherine Rutledge to discuss an incident that was self reported to Community Care Licensing Division (CCLD) office by phone on 03/24/2023. LPAs toured the facility and interviewed the Director. At the time of inspection there were 89 children along with 26 staff.

On 03/24/23 at parent contacted Director and then Director informed CCLD that Child 1 (C1) was hit in the mouth by Staff 1 (S1).

LPAs interviewed Director. Director stated that they put S1 on administrative leave and conducted an investigation. Director stated that none of the teachers present saw anything out of the ordinary. Director also stated that that S1 denies hitting C1 on the mouth.

C1 no longer attends facility and left on good terms.

Given that the incident can not be confirmed to have happened, no deficiencies are being issued as a result of this incident.

Notice of site visit was given, and should remain posted for a minimum of 30 days.

Exit interview conducted and report reviewed with Director Catherine Rutledge.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 06/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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