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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426207752
Report Date: 10/02/2019
Date Signed: 10/02/2019 11:11:56 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:ORCUTT UNION SCHOOL DISTRICT EARLY LEARNING CENTERFACILITY NUMBER:
426207752
ADMINISTRATOR:DR. HOLLY EDDSFACILITY TYPE:
850
ADDRESS:610 PINAL ST.TELEPHONE:
(805) 938-8588
CITY:ORCUTTSTATE: CAZIP CODE:
93455
CAPACITY:24CENSUS: DATE:
10/02/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Michelle ValenciaTIME COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Melissa Stewart made an unannounced CASE MANAGEMENT visit to the center. The purpose of the visit was explained. LPA met with Site Supervisor Michelle Valencia regarding an incident that was self-reported on 09/18/19. LPA interviewed Site Supervisor and Teacher #1.

The incident occurred on 9/16/19 at approximately 11:30am. There were four teachers and 24 children present. Child #1 and child #2 were sitting cross legged, next to each other, holding hands. Child #2's hand was resting on Child #1's leg. All 24 children were sitting on the carpet ready to begin group time. Parent of child #1 was exiting the classroom and then stated, "He's touching her, he's touching her." Teacher #1 observed the two children holding hands and did not observe any inappropriate touching. Teacher #1 asked Child #2 to move to another spot on the carpet. Teacher #1 asked Child #1, "Where was Child #2's hand?" Child # 1 stated, "In my hand." Child #2's parent was notified. Staff have been monitoring child #2 since the incident and have not observed any inappropriate touching. Child #1 was dis-enrolled on 9/16/19 and the family has re-located out of state. Parents of Child #1 have not contacted Site Supervisor since that date.

No deficiencies were cited.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2019
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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