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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426208099
Report Date: 05/01/2023
Date Signed: 05/01/2023 03:21:41 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 05/01/2023 03:21 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: 13DATE:
05/01/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:13 PM
MET WITH:Maria GomesTIME COMPLETED:
03:36 PM
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On May 1st, 2023, at 2:14PM, Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced Annual/Random inspection. LPA met with preschool director Maria Gomes and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were thirteen (13) children in care at the time of the inspection, and two (2) teachers, not including director. Preschool is located on the grounds of Notre Dame Elementary School and hours of operation are Monday through Friday 7:45AM-3:30PM. LPA observed required licensing documents mounted on the wall at the entrance of the preschool. Facility uses written logs for sign in and out purposes. The facility is currently utilizing two (2) classrooms for care and supervision. Both classrooms have age-appropriate toys and furniture readily accessible for children in care and offer ample ventilation. Children nap on mats with personal bedding stored separately. LPA observed all cleaning compounds, disinfectants, sharps, and tools to be inaccessible to children locked in a cabinet and first aid kits available. Preschool does not offer food services; children bring their own snacks and water bottles. LPA observed the facility has a sufficient number of clean and functioning restrooms and sinks available for the children. Fire extinguisher was serviced on 7/24/2022 and last emergency drill was conducted on January 19th, 2022. Per director, no firearms or ammunition are present on property.

The outdoor area has an ample amount of space for children to play with appropriate toys, structures, soft padding and shade. No bodies of water are present.

Incident Medical Services are currently not being provided at this time.

A sampling of children records were reviewed. LPA observed children's files to be complete and current. Due to extraordinary circumstances, staff files were unable to be reviewed at this time.

CONTINUED ON LIC809C

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:
DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2023
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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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: NOTRE DAME PRESCHOOL
FACILITY NUMBER: 426208099
VISIT DATE: 05/01/2023
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation interpretations and procedures for Child Care Centers sections 101173 and 101226. When any IMS is provided, an updated plan of operation that includes IMS must be submitted to the Department. the follow information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA information line at (800) 514-0301 (voice) / (800) 514-0383 (TTY) and link to publication: Commonly asked questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

No deficiencies were cited during today’s inspection.

Exit interview conducted, report reviewed, and copy provided to director.

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: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023
LIC809 (FAS) - (06/04)
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