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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426216010
Report Date: 09/05/2023
Date Signed: 09/05/2023 11:25:22 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
06/30/2023 and conducted by Evaluator Maryrose Breault
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20230630103525

FACILITY NAME:CHAPMAN FCC AKA POSYFACILITY NUMBER:
426216010
ADMINISTRATOR:ALEXIS CHAPMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(503) 508-4244
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY:14CENSUS: 10DATE:
09/05/2023
UNANNOUNCEDTIME BEGAN:
08:47 AM
MET WITH:Alexis ChapmanTIME COMPLETED:
10:26 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Criminal Clearance - uncleared individuals in the home.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On September 5th, 2023, at 8:31AM, Licensing Program Analyst (LPA) Rosie Breault made an unannounced visit to conclude a complaint investigation. LPA met with licensee and discussed the nature and purpose of the visit. At the time of the inspection there were ten (10) children present and three (3) staff including licensee, and licensee's husband. The Department obtained an allegation there are individuals in the home that were not criminally cleared.
During the investigation, LPA noted all adults at the time of the inspection, were criminally cleared. Per LPA roster review, no adults are currently pending print review. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with the director and a copy of LIC9213 Notice of site visit was provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2023
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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