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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426212626
Report Date: 04/29/2019
Date Signed: 04/29/2019 01:26:12 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:HOPE 4 KIDS PRESCHOOLFACILITY NUMBER:
426212626
ADMINISTRATOR:CHERI DIAZFACILITY TYPE:
850
ADDRESS:560 N. LA CUMBRE RD.TELEPHONE:
(805) 682-2300
CITY:SANTA BARBARASTATE: CAZIP CODE:
93110
CAPACITY:45CENSUS: 36DATE:
04/29/2019
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Teresa HahnTIME COMPLETED:
01:35 PM
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Licensing Program Analysts (LPAs) Ruth Gull and Jill Laxo made an unannounced CASE MANAGEMENT inspection for the purpose of discussing a Confirmation of Removal for Ramon Mendoza. LPAs met with Teresa Hahn, Assistant Director and explained the purpose of the inspection. LPAs toured both the Preschool and Infant programs of this combination center. Ms. Hahn stated they have never heard of Ramon Mendoza nor has he ever applied or worked at any of the Licensee's centers (this facility is designated Administrative file for all of the Licensee's facilities).

On 04/26/18, Cheri Diaz, Director submitted a Confirmation of Removal document to CCL certifying that Ramon Mendoza had never applied or worked at any of the centers.

Based on evidence obtained during today’s visit, the LPAs have verified the individual is not present, employed or residing at the facility. LPAs advised Ms. Hahn to disassociate the individual from their roster. Director to submit an updated LIC 500.

Verification of removal is complete.

LPAs reviewed and provided Assistant Director with Lead Exposure information pamphlet.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Ruth GullTELEPHONE: (805) 895-4073
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2019
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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