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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421710426
Report Date: 07/27/2020
Date Signed: 07/27/2020 02:13:22 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:CLIFF DRIVE CARE CENTERFACILITY NUMBER:
421710426
ADMINISTRATOR:YZNAGA, JENNYFACILITY TYPE:
840
ADDRESS:1435 CLIFF DRIVETELEPHONE:
(805) 965-4286
CITY:SANTA BRBARASTATE: CAZIP CODE:
93109
CAPACITY:24CENSUS: 13DATE:
07/27/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Jenny YznagaTIME COMPLETED:
01:50 PM
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On 07/27/20 at 1:20pm, Licensing Program Analyst (LPA) Ruth Gull conducted a tele-video CASE MANAGEMENT inspection via FaceTime (due to the COVID-19 State of Emergency). LPA Gull met with Director Jenny Yznaga regarding the request for an additional room for the School Age program (no increase in capacity). A virtual tour of the new room was completed. The room is located on the main floor (above the current School Age rooms which are located on the lower level). There are two bathrooms located next to the new room that can be used by the School Age program (one for Boys and one for Girls). The Fire clearance was granted on 07/17/20 for 24 children.

The additional room and bathrooms are added to the license effective today, 07/27/20.

Exit interview was conducted with Director Yznaga via FaceTime. This report will be sent to the Director via email with a read receipt or confirmation of receipt of email, which will act as the Director's signature.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Ruth GullTELEPHONE: (805) 895-4073
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2020
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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