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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215633
Report Date: 05/09/2022
Date Signed: 05/09/2022 02:28:52 PM

Document Has Been Signed on 05/09/2022 02:28 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:OAK PARK TURNING POINT MONTESSORIFACILITY NUMBER:
566215633
ADMINISTRATOR:MARY GOSSETTFACILITY TYPE:
850
ADDRESS:5450 CHURCHWOOD DRIVETELEPHONE:
(818) 532-7006
CITY:OAK PARKSTATE: CAZIP CODE:
91377
CAPACITY: 51TOTAL ENROLLED CHILDREN: 44CENSUS: 40DATE:
05/09/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:18 PM
MET WITH:Mary GossettTIME COMPLETED:
02:50 PM
NARRATIVE
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On May 9, 2022 at 1:18 PM, Licensing Program Analyst (LPA) Dean Thompson conducted an unannounced Case Management Deficiency visit and met with Director Mary Gossett. LPA conducted the Covid-19 screening questions prior to entering the facility. Present during today's inspection were 40 children and nine (9) staff.

While touring the facility, LPA Thompson observed staff (S1) caring for children. LPA Thompson reviewed the Facility Personnel Report Summary and found S1 was not associated to the facility. LPA also reviewed records and it was determined S1 was not fingerprint cleared.

LPA Thompson asked Director Mary Gossett how long S1 has been employed and caring for children in care, Director stated since February 16, 2022.

The following deficiency is being cited under Title 22, Division 12, Chapter 1 - 102370(d)(1) Criminal Record Clearance. See attached LIC 809-D.

Based on LPA observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 809-D.

Continued on LIC 809-C

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: OAK PARK TURNING POINT MONTESSORI
FACILITY NUMBER: 566215633
VISIT DATE: 05/09/2022
NARRATIVE
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Type A citation

LPA Dean Thompson informed Director Mary Gossett that this report dated May 9, 2022 document(s) one (1) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Dean Thompson informed the assistant director Heather Shields to provide a copy of this licensing report dated May 9, 2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Notice of Site Visit

A notice of site visit was given and must remain posted for 30 days.

Posting Requirements

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit Interview

Exit interview conducted and report was reviewed with Director Mary Gossett.

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/09/2022 02:28 PM - It Cannot Be Edited


Created By: Dean Thompson On 05/09/2022 at 01:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: OAK PARK TURNING POINT MONTESSORI
FACILITY NUMBER: 566215633

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/09/2022
Section Cited
CCR
102370(d)(1)

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(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or

This requirement is not met as evidenced by:
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LPA observed S1 leave the facility during the visit 5/9/2022. Director agreed to have S1 submit fingerprints before being able to assist at the child care center.
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Based on observation, interview, and record review, the Director did not comply with the section cited above. When touring the facility, LPA asked staff (S1) to provide her name. LPA reviewed records and it was determined S1 was not associated to the facility or been fingerprint cleared. Director stated S1 has been working at the facility since 2/16/2022 which poses an immediate health, safety or personal rights risk to persons in care.
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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.
SUPERVISOR'S NAME:George Mingle
LICENSING EVALUATOR NAME:Dean Thompson
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2022


LIC809 (FAS) - (06/04)
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