<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215280
Report Date: 01/09/2020
Date Signed: 01/09/2020 02:54:26 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:MR. ROB'S PLACEFACILITY NUMBER:
426215280
ADMINISTRATOR:LAUDERDALE, ROBERTFACILITY TYPE:
840
ADDRESS:434 NOGAL DR #2TELEPHONE:
(805) 588-7602
CITY:SANTA BARBARASTATE: CAZIP CODE:
93110
CAPACITY:30CENSUS: DATE:
01/09/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Rob LauderdaleTIME COMPLETED:
03:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Christian Patterson made an unannounced inspection to the facility for the purpose of conducting an ANNUAL/RANDOM inspection. LPA met with Rob Lauderdale and explained the purpose of the inspection. The school age program operates on the grounds of Monte Vista in Classroom #2. LPA inspected the classroom and the outside playground area. LPA observed the classroom to be clean and orderly. The bathrooms are located on the outside of another building nearby and staff escort children to the bathroom. LPA did not observe any toxins/hazardous items accessible to children. The outdoor playground areas have age appropriate toys/equipment. The play structure has adequate cushioning materials. LPA observed drinking water available in the classroom and outside available. LPA reviewed children's records for emergency contact information and the sign in/out sheets. LPA observed children’s files to be complete. LPA reviewed staff records. At least one staff present has CPR/ First Aid valid until 06/28/21. Staff qualifications were reviewed. LPA observed AB 1207 Child Mandated Reporter Training certificate to be missing from staff records.


This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following 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. Licensee previously submitted an IMS Plan of Operation.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: MR. ROB'S PLACE
FACILITY NUMBER: 426215280
VISIT DATE: 01/09/2020
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Licensee is reminded that they are responsible for knowing the regulations for a School Age Day Care Center and that Licensing information can be accessed online at www.ccld.ca.gov. LPA reviewed and provided Licensee with Infant Safe Sleep and Effects of Lead Exposure Brochures


Pursuant to Title 22 of the CA Code of Regulations, the following Type B deficiency was cited (refer to LIC 809-D). The Licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. The LIC 9213 (Notice of Site visit) was posted during today's visit.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: MR. ROB'S PLACE
FACILITY NUMBER: 426215280
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2020
Section Cited

1
2
3
4
5
6
7
On or before March 30, 2018, a person who...is a licensed child care provider...or employee of a licensed child day care facility shall complete the mandated reporter training…and shall complete renewal mandated reporter training every two years

8
9
10
11
12
13
14
This requirement was not met as evidenced by:
Licensee, S#1, S#2, and S#3 did not have AB1207 Mandated Reporter training certificates. This poses a potential health and safety risk to children in care
8
9
10
11
12
13
14

1
2
3
4
5
6
7

1
2
3
4
5
6
7
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: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3