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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426213715
Report Date: 09/28/2022
Date Signed: 09/28/2022 10:52:47 AM


Document Has Been Signed on 09/28/2022 10:52 AM - 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:VEGA FCC AKA SANTA BARBARA GARDEN MONTESSORIFACILITY NUMBER:
426213715
ADMINISTRATOR:VEGA,EVA&ISRAEL/LEGALFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 569-3897
CITY:SANTA BARBARASTATE: CAZIP CODE:
93101
CAPACITY:14CENSUS: 0DATE:
09/28/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Eva VegaTIME COMPLETED:
11:10 AM
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On September 28, 2022 at 10:20 AM, Licensing Program Analyst (LPA) Austin Rios conducted an unannounced Case Management/Legal Inspection. LPA met with licensee Eva Vega and advised the purpose of the inspection. There were no children in care at the time of the inspection. This Stipulation and Waiver; And Order, it is ordered on 9/27/2022, becomes effective 9/20/2022 and expires 9/20/2025.

The Stipulation and Waiver; And Order CDSS No. 6421174101 was provided and reviewed with Licensee Eva Vega. Licensees Eva Vega and Israel Vega have been granted a probationary license for the next three years. Licensees probationary license is subject to the following limitations and conditions:

Summary:
Five (5) feet tall fence for hot tub within 45 days of Stipulation

Name to face recognition plan within 30 days of Stipulation

Installation of safety devices (security camera maintained, alarm system, baby gate, door lock latch, and doorknobs) within 30 days of Stipulation

Complete six (6) hours of Care & Supervision training within 3 months of Stipulation

Attend virtual or in-person FCC Orientation within 2 months of Stipulation



SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:
DATE: 09/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/28/2022
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: VEGA FCC AKA SANTA BARBARA GARDEN MONTESSORI
FACILITY NUMBER: 426213715
VISIT DATE: 09/28/2022
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Exit interview conducted with licensee Eva Vega. LPA observed Notice of Site visit and the Stipulation and Waiver; And Order shall be posted in a prominent location during the duration of the probationary 3 year period. The Licensee was informed all prospective parents of children enrolled in the facility will need to sign LIC 9224 that they received copies of the Accusation, Stipulation and Waiver; and Order, for the period the facility is on probation.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2022
LIC809 (FAS) - (06/04)
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