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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426208099
Report Date: 05/05/2023
Date Signed: 05/05/2023 12:33:01 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 05/05/2023 12:33 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:NOTRE DAME PRESCHOOLFACILITY NUMBER:
426208099
ADMINISTRATOR:MARIA GOMESFACILITY TYPE:
850
ADDRESS:33 E. MICHELTORENA ST.TELEPHONE:
(805) 965-1033
CITY:SANTA BARBARASTATE: CAZIP CODE:
93101
CAPACITY:60CENSUS: 15DATE:
05/05/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Maria GomesTIME COMPLETED:
12:39 PM
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On May 5th 2023 at 11:55AM, Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced visit for the purpose of a Case Management - Annual Continuation inspection. LPA met with director Maria Gomes and at the time of the inspection there were fifteen (15) children and three (3) staff present.

LPA conducted an Annual Random inspection on May 1st 2023. At that time, the staff files were unavailable due to unexpected reasons.

During today's inspection, LPA reviewed a sampling of staff files. Teachers have required qualifications. Pediatric First Aid/CPR certificate expires 3/22/2025. LPA reviewed AB 1207 Mandated Reporter Training certificates. LPAs verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements.

No deficiencies were cited during today's inspection.


Notice of Site Visit posted.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2023
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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