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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566216610
Report Date: 10/16/2024
Date Signed: 10/16/2024 01:41:36 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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
07/22/2024 and conducted by Evaluator German Negrete
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20240722095901
FACILITY NAME:PACIFIC CAMPS FAMILY RESOURCE,INC.FACILITY NUMBER:
566216610
ADMINISTRATOR:KENNETH HARLEYFACILITY TYPE:
860
ADDRESS:4050 MARKET STREETTELEPHONE:
(805) 654-0686
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:120CENSUS: 3DATE:
10/16/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Genesis D'andrea, TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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1. Staff yelles at children in care.
INVESTIGATION FINDINGS:
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On 10/16/2024 Licensing Program Analyst (LPA) German Negrete conducted an unannounced inspection at the preschool/school age program to deliver the findings of the above mentioned complaint allegation, received on 07/22/2024. LPA met with Genesis D'andrea, Licensing coordinator. LPA toured the center inside and out. LPA observed 1 staff providing care and supervision to 3 children.

The investigation included reviewing sign in/out sheets of children, parent handbook, unusual incidents reports. The investigation also included parent interviews of both current and previously enrolled children, as well as LPA observations. Furthermore LPA interviewed Director, and staff.
Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024
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-20240722095901
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: PACIFIC CAMPS FAMILY RESOURCE,INC.
FACILITY NUMBER: 566216610
VISIT DATE: 10/16/2024
NARRATIVE
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Regarding the allegation, Staff yelled at child in care, LPA interviewed multiple parents. The interviews revealed most parents are happy with the care and supervision their children receive at this facility. Every parent that was interviewed stated they have never observed a staff inappropriately speak to a child or inappropriately handle a child.

LPA also conducted a review of all Unusual incident reports(UIR) that occurred in the last 12 months. LPA found one unusual incident report (UIR)that was submitted to child care licensing(CCL) by S3. The written UIR, LIC624 report was submitted on 7/30/2024 LPA was able to read the UIR and the following was described : When C1 was asked to comply with directions by center staff, C1 ran out of the room to an unsupervised area, front drive way/play area. At the time of the incident their were 15 children and 3 staff providing care and supervision. However it is determined the facility did not follow title 22 reporting requirements.

Through staff interviewees, LPA verified that S7 used a loud voice once S7 observed C1 running towards in exit in the front drive way play area. S7 utilized a loud voice to get the attention of C1 and to stop C1 from exiting the facility and crossing the street.

LPA also reviewed the parent hand book, and on page 18 it states Parent Conference Report(PCR) will take place when a child needs a individual plan in order to correct the child's behavior. Through record review and emails, LPA determined the parent did not want to sign a PCR document on 7/22/2024.

Additionally on page 18 of the parent handbook, it references the discipline policy that states their will be no corporal punishment and the staff will support a child's behavior through fairness ,sensitivity and consistency.

Although allegation#1 may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated

Exit Interview conducted with Genesis D'andrea, Licensing coordinator.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2