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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426200093
Report Date: 08/11/2020
Date Signed: 09/10/2020 09:21:18 AM

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. RAPHAEL SCHOOL/PRESCHOOLFACILITY NUMBER:
426200093
ADMINISTRATOR:SANTOS, EDNA L.FACILITY TYPE:
850
ADDRESS:160 ST. JOSEPH STREETTELEPHONE:
(805) 967-4435
CITY:SANTA BARBARASTATE: CAZIP CODE:
93111
CAPACITY:27CENSUS: 0DATE:
08/11/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Michelle LimbTIME COMPLETED:
03:19 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 August 11, 2020 at 2:30 PM, Licensing Program Analysts (LPA's) Francisca Velazquez and Francisco Pedroza conducted an announced tele-visit Case Management inspection. Due to COVID-19 and Department of Public Health (DPH) guidelines of social distancing, a tele-inspection will occur. LPA's met with School Principal, Michelle Limb through Zoom and was provided a tour of the facility. Jorge Almazan and Maria Delgadillo were also present to help Michelle measure during tele-inspection. There were no children present at the time of the inspection.

Facility submitted an application to the Community Care Licensing (CCL) requesting an increase in capacity for preschool children from 27 to 81 preschool children. The facility currently has one classroom and would like to add two classrooms to their license. On August 6, 2020 the Santa Barbara County Fire Department inspector conducted a fire inspection. The facility received a fire clearance approval for the increase in capacity.

The measurements for the two classrooms that are being added are as follows:
Classroom one: 964.44/35 = 27 children
Classroom two: 954.487/35 = 27 children

Facility has a total of 11 sinks, 14 toilets, and 8 urinals. Facility has enough toilets, sinks and urinals to meet the needs to the children.

Facility has two large yards that will be used. The yard that is currently used measure 5,760/75= 76 children. The second yard is too large to measure and looks to be approximately 3 times the size of the yard that is currently being used by facility.

Cont.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2020
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 2
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: ST. RAPHAEL SCHOOL/PRESCHOOL
FACILITY NUMBER: 426200093
VISIT DATE: 08/11/2020
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
26
27
28
29
30
31
32
The center meets Title 22 Division 12 requirements.

License capacity increase will be effective today, August 11, 2020 for a total of 81 preschool children.

A copy of this report was reviewed and provided to the facility. Director agreed to receive a copy of report via email and voiced understanding that the read receipt confirmation from email will be in lieu of their signature once she received the report. LPA requested licensee to email a copy of signed form for records.

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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2