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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 561711888
Report Date: 02/21/2024
Date Signed: 02/21/2024 05:32:03 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/12/2024 and conducted by Evaluator Giovani Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20240212142605
FACILITY NAME:ST. SEBASTIAN SCHOOL/PRESCHOOLFACILITY NUMBER:
561711888
ADMINISTRATOR:ANNETTE ROMEROFACILITY TYPE:
850
ADDRESS:325 E. SANTA BARBARA ST.TELEPHONE:
(805) 933-5518
CITY:SANTA PAULASTATE: CAZIP CODE:
93060
CAPACITY:44CENSUS: 25DATE:
02/21/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Grace Micheal TIME COMPLETED:
11:30 AM
ALLEGATION(S):
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1.Physical Plant- Licensee does not ensure facility is in good repair.
2.Physical Plant- Staff do not ensure outdoor play areas are free from hazards.
3.Physical Plant-Licensee does not ensure the facility is free from pests.
INVESTIGATION FINDINGS:
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On February 21, 2024 Licensing Program Analysts (LPAs) Giovani Gonzalez and Veronica Diaz conducted an unannounced inspection to initiate the a complaint investigation. LPAs met with Principal Grace Micheal and informed them the purpose of the inspection. LPAs in the company of the Principal toured the interior and exterior of the facility. At the time of the inspection there were 25 children present with 4 staff providing care.

The Department received 3 allegations. The first allegation was that the Licensee does no ensure facility is in good repair. LPAs interviews with staff revealed that 1 toilet and 1 sink were out service for extended period of time. LPAs were informed that they were repaired as of about a week ago. The second allegation was that staff do not ensure outdoor play areas are free from hazards. During LPAs tour of the facility, LPAs observed that the turf was very uneven and had various sections coming up which pose a potential tripping hazard for children in care. LPAs also observed a wooden toy house that had missing boards and exposed nails.

CONTINUED PAGE 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 17-CC-20240212142605
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: ST. SEBASTIAN SCHOOL/PRESCHOOL
FACILITY NUMBER: 561711888
VISIT DATE: 02/21/2024
NARRATIVE
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The third allegation was that Licensee does not ensure that the facility is free of pests. Staff interviews revealed that they facility has had issues with pests, however there have not been any recent issues as of December.

Based on LPAs observations and interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegations are found SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 or Health and Safety Code, are being cited on the attached LIC 9099D.1 Type B deficiency is being cited.

Since the Principal needed to step out, exit interview was conducted Teacher Gabi Miramontes. Notice of Site Visit was given
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 17-CC-20240212142605
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: ST. SEBASTIAN SCHOOL/PRESCHOOL
FACILITY NUMBER: 561711888
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/21/2024
Section Cited
CCR
101238(a)
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101238(a) Buildings and Grounds

(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
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Facility will remove damaged and/or broken toys/equipment from the facility and fix turf so that it is no longer a tripping hazard. Facility will also submit written plan how they will deal with pests in the future. Proof of completion will be submitted to LPA via email at giovani.gonzalez@dss.ca.gov
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Based on observation and interviews the licensee did not comply with the section cited above in having damaged equipment, uneven/lifted turf and issues with pests which poses/posed a potential health, safety or personal rights risk to persons in care.
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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.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4