<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216162
Report Date: 06/02/2022
Date Signed: 06/02/2022 10:19:22 AM


Document Has Been Signed on 06/02/2022 10:19 AM - 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:MARIE BAUER EARLY EDUCATION CENTERFACILITY NUMBER:
406216162
ADMINISTRATOR:LAUREN HANDLEYFACILITY TYPE:
850
ADDRESS:1626 VINE ST.TELEPHONE:
(805) 769-1000
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:215CENSUS: 49DATE:
06/02/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Lauren HandleyTIME COMPLETED:
10:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On June 2, 2022 at 9:25 AM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Case Management - Incident inspection. LPA met with facility Director Lauren Handley and discussed the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 49 children in care at the time of of the inspection.

On May 24, 2022, C1 came to school. While in care, teaching staff noticed that C1 was lethargic and not looking well. Staff notified the front desk whom had the facility nurse come to check the child. C1 had a low grade fever just over 100 degrees Fahrenheit. The staff contacted C1's mother and advised her of C1's symptoms. C1's mother came to pick them up. Later that evening C1 was taken to the hospital. The following morning, the facility office was contacted and advised that C1 passed away in the hospital.

LPA spoke with Director about the incident. Due to insufficient information available at this time, the above incident(s) need(s) further investigation.

No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/02/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1