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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421710360
Report Date: 09/03/2021
Date Signed: 09/03/2021 08:33:09 PM

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:PACIFIC CHRISTIAN SCHOOLFACILITY NUMBER:
421710360
ADMINISTRATOR:CALDERWOOD, MAUREENFACILITY TYPE:
850
ADDRESS:3435 SANTA MARIA WAYTELEPHONE:
(805) 938-7555
CITY:SANTA MARIASTATE: CAZIP CODE:
93455
CAPACITY:90CENSUS: 29DATE:
09/03/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Sonja WittliebTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Gigi Reyes made an unannounced CASE MANAGEMENT inspection to the center. LPA asked Assistant Director of pre- screening questions related to COVID-19, Assistant Director’s responses suggest no COVID-19 exposure on site. There were 29 children and 6 staff present during the inspection.

The purpose of the visit was explained. LPA met with Assistant Director, Sonja Wittlieb, regarding an incident that was self-reported on 09/01/2021. Director was not present during the inspection.

On 9/1/2021 Child # 1’s authorized representative reported to Director that Child # 1 was inappropriately touched by another day care child. Based on the interviews conducted and the incident report filed, the other day care child, herein referred to as Child # 2 who allegedly touched Child # 1 was never in the same group. Child # 1 named another day care child, Child # 3 who was in the same class during summer class back in July 6 to August 5th 2021. The date of the alleged incident was not determined. No incident was brought to the attention of the supervising teacher Ms. Abigail Guy. No incident was likewise observed during those period

Ms. Calderwood who was interviewed by LPA over the phone stated that she had a meeting today, 9/3/2021 with the parent of Child # 1. LPA was not able to interview Child # 1 because the latter was not in school during the inspection.

No deficiencies cited during today's inspection. Notice of Site Visit was posted.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2021
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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