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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426206965
Report Date: 09/18/2019
Date Signed: 09/18/2019 04:32:33 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:ORFALEA FAMILY CHILDREN'S CENTER CLUB HOUSEFACILITY NUMBER:
426206965
ADMINISTRATOR:ANNETTE MUSEFACILITY TYPE:
850
ADDRESS:UCSB, WEST CAMPUSTELEPHONE:
(805) 893-3665
CITY:SANTA BARBARASTATE: CAZIP CODE:
93106
CAPACITY:23CENSUS: 14DATE:
09/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Tamara ThompsonTIME COMPLETED:
04:45 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
(3) Licensing Program Analysts (LPAS) Ruth Gull and Christian Patterson conducted an unannounced RANDOM ANNUAL inspection to the center. LPAs met with Tamara Thompson, Site Supervisor and explained the purpose of the visit. A tour of the center was made both inside and outside. The classroom has an attached bathroom. LPAs observed age appropriate toys/furnishings. The children's bedding is stored in individual bags and parents take the bedding home weekly for laundering. LPAs did not observe any toxins/hazardous items accessible to children. The playground has age appropriate toys and equipment and shaded areas. The play structure has adequate cushioning material. The posted menus were reviewed.

Due to time constraints, the annual inspection will be continued at a later date.

LPAs reviewed and provided Ms. Thompson with the Effects of Lead Exposure pamphlet (to be provided to both current and future parents).

There were no deficiencies cited in the areas inspected. The LIC 9213 (Notice of Site Visit) was posted during today's inspection.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Ruth GullTELEPHONE: (805) 895-4073
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
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