561711888-2-21-2024-17-CC-GGOZ-D2P4FE-20240221180350

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 561711888
Report Date: 02/21/2024
Date Signed: 02/21/2024 06:04:08 PM

Document Has Been Signed on 02/21/2024 06:04 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:	ST. SEBASTIAN SCHOOL/PRESCHOOL		FACILITY NUMBER:	561711888
ADMINISTRATOR:	ANNETTE ROMERO		FACILITY TYPE:	850
ADDRESS:	325 E. SANTA BARBARA ST.		TELEPHONE:	(805) 933-5518
CITY:	SANTA PAULA	STATE: CA	ZIP CODE:	93060
CAPACITY:	44	CENSUS: 25	DATE:	02/21/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Grace Michael		TIME COMPLETED:	06:00 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	On February 21 2024 Licensing Program Analysts (LPAs) Giovani Gonzalez and Veronica Diaz conducted an unannounced Required - 3 Year inspection at the above-mentioned Child Care Center (CCC). LPAs met with Principal Grace Michael and informed them the purpose of the inspection. LPAs and Principal toured the interior ant exterior of the facility. At the time of the inspection there were 25 children present and 4 staff. LPAs observed the license to be posted prominently next to the entrance of the preschool classroom. The facility consists of 2 classrooms. LPA observed CCC to be organized. The CCC has ventilation and heating to accommodate children in care. LPA observed appropriate toys and furnishing throughout the preschool rooms. The CCC has plenty of cots for children to nap in. The CCC restroom that the children use was observed to be clean and free of toxins. There were plenty of toilets and sinks to accommodate children in care. The entirety of the outdoor play area is enclosed by a fence. LPAs observed plenty of age appropriate equipment. LPAs observed that the turf area was uneven and had various patches lifting up which poses a potential tripping hazard. LPAs also observed a wooden toy house that was damaged with exposed nails. This issue is being addressed as part of a complaint investigation (Control Number 17-CC-20240212142605). LPAs observed a posted snack menu. The center only provides snacks while the the children bring in their own lunch which was observed to be labeled. The last emergency drill was conducted 12/6/2023. A sampling of children's files were reviewed and found to be current, however all files were missing Personal Rights (LIC613A) and various files were had unsigned paperwork. Staff records were reviewed and 2 out of CONTINUED PAGE 2

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Giovani Gonzalez	TELEPHONE: (805) 722-5132
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.

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 02/21/2024 06:04 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: ST. SEBASTIAN SCHOOL/PRESCHOOL	FACILITY NUMBER: 561711888
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/21/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101215.1(b)

Child Care Center Director Qualifications and Duties

(b) All child care centers shall have a director. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on Interviews and record review , the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/28/2024
	Plan of Correction
1 2 3 4	Facility will assign a Director and submit a Directors packet to CCL no later than 2/28/2024. Assigned Director will be reported to LPA via email at giovani.gonzalez@dss.ca.gov and the directors packet will be mailed in to 6500 Hollister Ave,, Suite 200 Goleta Ca 93117.

Type B

Section Cited

CCR

101217(a)

Personnel Records

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 4 personell files. which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/28/2024
	Plan of Correction
1 2 3 4	Facility will update personel files so that they satisfy the above regualtion. Facility will provde proof via email of completed and current files to giovani.gonzalez@dss.ca.gov

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 Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Giovani Gonzalez	TELEPHONE: (805) 722-5132
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

LIC809 (FAS) - (06/04)

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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: ST. SEBASTIAN SCHOOL/PRESCHOOL	FACILITY NUMBER: 561711888
	VISIT DATE: 02/21/2024

NARRATIVE

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the 4 staff had complete files while the other 2 staff did not have documentation that satisfied CCL requirements. LPAs did not observe any staff to have current Mandated Reporter Training (AB1207). LPAs provided Principal with Records to be Maintained at the Facility (LIC311A). LPAs asked Principal if they had the required documentation to be an interim Director of the facility and the Principal informed LPAs that they did not. Principal informed LPAs that they had tried contact the previous a LPA for guidance however they got no response. LPAs reminded Principal that they must have all staff records up to date and available for review. At least one staff has current Pediatric First Aid/CPR certificate.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee [or facility representative] was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
CONTINUED PAGE 3

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Giovani Gonzalez	TELEPHONE: (805) 722-5132
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

LIC809 (FAS) - (06/04)

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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: ST. SEBASTIAN SCHOOL/PRESCHOOL	FACILITY NUMBER: 561711888
	VISIT DATE: 02/21/2024

NARRATIVE

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Licensee [or facility representative] was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During todays inspection 2 Type B deficiencies were cited on the attached LIC809D.

A notice of site visit was given and must remain posted for 30 days. Since the Principal needed to step out the exit interview conducted and report was reviewed with the Teacher Gabi Miramontes.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Giovani Gonzalez	TELEPHONE: (805) 722-5132
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

LIC809 (FAS) - (06/04)

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