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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421710529
Report Date: 01/10/2024
Date Signed: 01/10/2024 02:37:34 PM


Document Has Been Signed on 01/10/2024 02:37 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:BETHANIA PRE-SCHOOLFACILITY NUMBER:
421710529
ADMINISTRATOR:LOLA GONZALEZFACILITY TYPE:
840
ADDRESS:611 ATTERDAG ROADTELEPHONE:
(805) 688-7077
CITY:SOLVANGSTATE: CAZIP CODE:
93463
CAPACITY:40CENSUS: 37DATE:
01/10/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:33 PM
MET WITH:Lola GonzalesTIME COMPLETED:
02:52 PM
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 January 10, 2024 Licensing Program Analyst's (LPA's) Susana Martinez and German Negrete conducted an unannounced Case Management- Other inspection to follow up on the new outdoor play structure. LPA's met with Director Lola Gonzales and advised her the purpose of the inspection. Director provided a tour of the facility. At the time of inspection there were 37 children and 4 staff members.

The Department received a proposed plan for installation of a new outdoor play structure. Director submitted a timeline along with a facility sketch regarding the installment of the new structure. The plan contained a facility sketch and noted alternative outdoor areas that school-age children could use while the play structure was installed.

At the time of inspection LPA's observed the play structure to be fully installed. LPA's observed orange fencing placed around the perimeter of the structure. Director stated that the City has not stopped by to grant the permit as of yet. Proposed City inspection is set for 01/11/2024. Once the City approves the structure children will have access.

LPA's verified that the play structure is age appropriate. Based on manufacturing labeling, play structure is intended for children ages 5- 12 years old. Once the City grants the permit, play structure is approved for the school age children only.

LPA's did not observe any hazardous/ toxic items during the inspection.

No deficiencies were issued during today's inspection.

Exit interview conducted and report reviewed with Director Lola Gonzales.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:
DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/10/2024
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