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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421708152
Report Date: 01/06/2023
Date Signed: 01/06/2023 04:03:28 PM


Document Has Been Signed on 01/06/2023 04:03 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:SANTA BARBARA BRANCH - MONTE VISTA SCHOOLFACILITY NUMBER:
421708152
ADMINISTRATOR:GABRIEL OSOLLOFACILITY TYPE:
840
ADDRESS:730 N. HOPE AVE.TELEPHONE:
(805) 569-5854
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY:64CENSUS: 25DATE:
01/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Channing HogueTIME COMPLETED:
04:15 PM
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On January 6th, 2023 at 2:20PM Licensing Program Analysts (LPAs) Rosie Breault and Giovani Gonzalez conducted an unannounced annual random inspection. LPAs met with Program Director Channing Hogue explained the purpose of the inspection. The center operates Monday – Friday 1:30PM – 5:30PM. The center is located on the grounds of Monte Vista Elementary school. A tour of the center was made both inside and outside. At the time of the inspection, there were twenty-five (25) children and two (2) staff.

Facility currently uses written sheets for sign in and out purposes. Facility is currently utilizing two (2) classrooms and LPAs noted both have age appropriate toys/equipment and furnishings. Filter water is available for children’s use. Facility provides restrooms which are located on the outside of one of the school buildings. Staff escort children to and from the restroom. LPAs did not observe any toxins, combustibles, poisons, sharps, or hazardous items accessible to children and the last fire drill was conducted on 12/15/2022. The outdoor playground areas have age appropriate toys/equipment and no bodies of water are present.

Incidental Medical Services are not being provided at this time.

A sampling of children and staff records were reviewed. LPA reviewed SB 792 (Child Care Employee and Volunteer Immunization and Tuberculosis Requirements) and Mandated Reporter training certificates which are valid and current. Teachers present have 1st Aid/CPR certificates that are valid until 9/24/2024.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:
DATE: 01/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/06/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: SANTA BARBARA BRANCH - MONTE VISTA SCHOOL
FACILITY NUMBER: 421708152
VISIT DATE: 01/06/2023
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

No deficiencies have been cited, technical assistance provided to director.

Exit interview conducted with director and copy provided.

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: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023
LIC809 (FAS) - (06/04)
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