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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
426215837
Report Date:
01/21/2025
Date Signed:
01/21/2025 04:26:20 PM
Document Has Been Signed on
01/21/2025 04:26 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
SANTA BARBARA CC RO
,
6500 HOLLISTER AVE., SUITE 200
GOLETA
,
CA
93117
FACILITY NAME:
HALE FAMILY CHILD CARE
FACILITY NUMBER:
426215837
ADMINISTRATOR/
DIRECTOR:
MEGAN NICOLE HALE
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(805) 868-7309
CITY:
LOMPOC
STATE:
CA
ZIP CODE:
93436
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
13
DATE:
01/21/2025
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
03:45 PM
MET WITH:
Megan Hale
TIME VISIT/
INSPECTION COMPLETED:
04:35 PM
NARRATIVE
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A Case Management Inspection was conducted by Licensing Program Analysts (LPAs) Elizabeth George and Bill Billones.
During the children interviews C2 disclosed that
'one time when megan was changing sister she asked me to watch her and I wasn’t watching her and she rolled off the diaper changing table onto the ground'.
Licensee stated that she was standing right there behind the baby she had to turn around to grab a glove. She immediately called the parents of the child. The child did not sustain any injuries during the fall. No medical attention was required. An unusual incident report was not filed due to the fact that the child did not require medical attention.
LPA advised licensee this would be considered an event where a report needed to be filed.
A Technical Assistance was cited for reporting requirements. LPAs discussed the importance of reporting with licensee.
Appeal Rights were provided to Licensee.
An exit interview was completed with Licensee Megan Hale.
Ana Tolentino
TELEPHONE:
(805) 562-0347
Elizabeth George
TELEPHONE:
805-562-0400
DATE:
01/21/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
01/21/2025
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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