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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215499
Report Date: 05/08/2019
Date Signed: 05/08/2019 03:54:33 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:ZACA CENTER PRESCHOOLFACILITY NUMBER:
426215499
ADMINISTRATOR:SHELLEY GRANDFACILITY TYPE:
850
ADDRESS:27 SIX FLAGS CIRCLETELEPHONE:
(805) 688-0050
CITY:BUELLTONSTATE: CAZIP CODE:
93427
CAPACITY:43CENSUS: DATE:
05/08/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Shelley GrandTIME COMPLETED:
03:55 PM
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Licensing Program Analysts (LPAs) Melissa Stewart and Ruth Gull conducted an unannounced annual random inspection and met with Director, Shelley Grand. The center was toured indoors and out. There were 12 children and two staff present. Snack and lunch menus were posted. No health or safety hazards were observed. The Director and at least one staff is current with CPR/First Aid. Director's CPR/First Aid expires on 2/8/2020. Staff records were reviewed for AB1207 Mandated Reporter Training and found to be completed. LPA reviewed and provided “Effects of Lead Exposure” to be distributed to all families.

Due to time constraints the annual inspection will continue at a later date.

In areas evaluated, no deficiencies cited.

LPA's observed Notice of site visit posted.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Ruth GullTELEPHONE: (805) 895-4073
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019
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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