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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421700374
Report Date: 03/10/2023
Date Signed: 03/10/2023 04:59:02 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/10/2023 04:59 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:ST. ANDREW'S PRESCHOOLFACILITY NUMBER:
421700374
ADMINISTRATOR:CYNTHIA OLIVERFACILITY TYPE:
850
ADDRESS:4575 AUHAY DRIVETELEPHONE:
(805) 964-6114
CITY:SANTA BARBARASTATE: CAZIP CODE:
93110
CAPACITY:30CENSUS: 0DATE:
03/10/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:11 PM
MET WITH:TIME COMPLETED:
01:24 PM
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On March 10th, 2023 at 1:11PM, Licensing Program Analysts (LPAs) Rosie Breault and Giovani Gonzalez attempted an Annual Random inspection at the aforementioned facility. LPAs arrived and parking lot was empty. LPAs attempted to enter through the gated however it was padlocked. No adults or children appeared to be on campus.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:
DATE: 03/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/10/2023
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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