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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 401710768
Report Date: 11/21/2024
Date Signed: 11/21/2024 12:49:33 PM

Document Has Been Signed on 11/21/2024 12:49 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:UNITED METHODIST CHILDREN'S CENTER, THEFACILITY NUMBER:
401710768
ADMINISTRATOR/
DIRECTOR:
LIZ RICHARDSONFACILITY TYPE:
850
ADDRESS:1515 FREDERICKS STREETTELEPHONE:
(805) 549-0332
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 65DATE:
11/21/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:31 PM
MET WITH:Liz RichardsonTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 11/21/24, Licensing Program Analysts (LPAs) Elvin Baddley and Shane Loftus conducted an unannounced Case Management Inspection of the abovementioned Child Care Center (CCC) to address an Unusual Incident Report (UIR) received by CCLD on 11/20/24. Specifically, CCC staff reported a child in care, C1, made mentioned of being burned (first degree) while washing hands in the CCC's classroom.

LPAs met with Liz Richardson, Director of the CCC ,and explained the nature of the inspection. Director provided LPAs an account of what transpired and re-enacted the incident. LPAs observed the classroom where C1 reportedly burn hands while washing hands in the sink. LPAs tested the temperature of the water, interviewed a sample of teachers on site as well has a random sampling of children in care. LPAs also interviewed a plumber who serviced the CCC and a care giver of C1.

Due to insufficient information available at the time of this inspection, the related UIR will need further investigation.



No deficiencies were cited during today's inspection.

A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Failure to comply with posting requirements may result in a civil penalty of $100.

Exit interview conducted and report was reviewed with Facility Representative Liz Richardson.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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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