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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426211780
Report Date: 05/28/2019
Date Signed: 05/28/2019 03:57:02 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:SBCEO - EARLY STEPS TO LEARNINGFACILITY NUMBER:
426211780
ADMINISTRATOR:JANELLE WILLISFACILITY TYPE:
850
ADDRESS:320 N. "J" ST. RM 14TELEPHONE:
(805) 742-2575
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:30CENSUS: 13DATE:
05/28/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:05 PM
MET WITH:Cecilia VangTIME COMPLETED:
04:10 PM
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Licensing Program Analyst (LPA) Ruth Gull made an unannounced CASE MANAGEMENT visit to the center. Met with Cecilia Vang, Site Supervisor to follow up on an incident that was self-reported on 05/23/19. LPA inspected the area where the incident occurred and interviewed Site Supervisor and Teacher #2 (Teacher #1 is unavailable until the end of the week).

The incident occurred on 05/22/19 at approximately 4:00pm on the playground. The children were transitioning from outside to inside. Child #1 was running (from the sand area to the patio), he tripped and fell, hitting his head on the large wooden planter barrel on the patio, resulting in a cut above the right eyebrow. Teacher #1 observed the incident (but couldn't prevent it from occurring). Staff administered 1st Aid and Child #1's parents were notified. Child #1's parents picked him up and took him to the Lompoc Hospital Emergency Room. The doctor closed the wound with surgical glue. Child #1 returned to program the next day. There were 4 children with 2 teachers present at the time of the incident.

No deficiencies were cited during today's inspection.

The LIC 9213 (Notice of Site Visit) was posted.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Ruth GullTELEPHONE: (805) 895-4073
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2019
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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