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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215064
Report Date: 05/29/2024
Date Signed: 05/29/2024 03:52:18 PM


Document Has Been Signed on 05/29/2024 03:52 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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:SBCEO - YOUNG LEARNERS PRESCHOOLFACILITY NUMBER:
426215064
ADMINISTRATOR:JANELLE WILLISFACILITY TYPE:
850
ADDRESS:621 WEST NORTH AVE., ROOM 37TELEPHONE:
(805) 742-2229
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:48CENSUS: 35DATE:
05/29/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Martha Santos TIME COMPLETED:
04:05 PM
NARRATIVE
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On May 29, 2024 Licensing Program Analysts (LPAs) Giovani Gonzalez and Julia Meli conducted an unannounced Case Management Incident inspection at the above-mentioned Child Care Center (CCC). LPAs met with Teacher Martha Santos and informed them the purpose of the inspection. At the time of the inspection there were 35 children present and 7 staff providing care.

On April 18, 2024 the CCC self reported an incident where, during dismissal (3PM), Staff 1 (S1) noticed that Child 1 (C1) was not inside the classroom. C1 was observed to be in the play ground walking in circles. Per the report, C1 had left the classroom unnoticed.

LPAs conducted interviews with S1 and Staff 2 (S2). Interviews revealed that there is usually a staff that is by the cubbies that are near the door and another staff calling out children who are getting pick up. Interviews revealed that C1 would need to pass S1 and S2 to get into the play ground area. Furthermore it was revealed that C1 needs a lot of one on one support.

Based on the information obtained,deficiencies are being cited today in accordance with the California Code of Regulations, Title 22, see LIC809D. 1 Type B deficiency was given.

An exit interview was conducted and Plans of Corrections were reviewed and developed with the Teacher Martha Santos . A copy of this report and appeal rights were given.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Giovani GonzalezTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:
DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/29/2024
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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Document Has Been Signed on 05/29/2024 03:52 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117


FACILITY NAME: SBCEO - YOUNG LEARNERS PRESCHOOL
FACILITY NUMBER: 426215064

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/05/2024
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision
(1) No child(ren) shall be left without the supervision of a teacher at any time, ... Supervision shall include visual observation.

This requirement is not met as evidenced by:
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Facility will submit a written plan on how they will prevent a similar incident from occurring again. POC must be submitted via email to julia.meli@dss.ca.gov no later than 6/5/2024.
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Based on interviews with staff and record review , the licensee did not comply with the section cited above in 1 child being able to leave the classroom unnoticed.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Giovani GonzalezTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:
DATE: 05/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/29/2024
LIC809 (FAS) - (06/04)
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