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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561711888
Report Date: 05/10/2024
Date Signed: 05/10/2024 10:39:54 AM


Document Has Been Signed on 05/10/2024 10:39 AM - 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: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: 22DATE:
05/10/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Hope MoralesTIME COMPLETED:
11:00 AM
NARRATIVE
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On 5/10/24 Licensing Program Analysts (LPAs) Veronica Diaz and Aaliyah Zendejas conducted an unannounced Case Management. LPAs met with acting director Hope Morales Gonzales and advised them of the purpose for the inspection. The Purpose of this report is to address deficiencies not cited from report dated 2/21/24.

During inspection conducted on 2/21/24, LPAs learnt the facility has been without a qualified director since July 2023. The facility failed to notify Community Care Licensing regarding the resignation of the previous director in order to obtain guidance. Additionally, licensee failed to provide a designation of facility responsibility for staff.

Record reviews revealed out of 4 staff presents, no staff present had completed Mandated Reporter training was required by AB1207. These deficiencies pose a potential risk to the health and safety on children in care.

During today’s inspection 2 Type B deficiencies were cited. See the attached LIC809D.


SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Veronica DiazTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:
DATE: 05/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/10/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: ST. SEBASTIAN SCHOOL/PRESCHOOL
FACILITY NUMBER: 561711888
VISIT DATE: 05/10/2024
NARRATIVE
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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.

On return 5/10/24 LPAs observed half of the turf was repaired,LPAs took pictures of the turf and is lifting. Plan of Correction (POC) should be cleared by 3/21/24. The POC was not fully cleared LPAs spoke to Licensing Program Manger Mingle and due to it being a potential risk and no injury's reported licensing is allowing to extend the POC till 5/31/24.

Notice of site visit was given.


Report was reviewed with Director Hope Morales Gonzales.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Veronica DiazTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 05/10/2024 10:39 AM - 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117


FACILITY NAME: ST. SEBASTIAN SCHOOL/PRESCHOOL

FACILITY NUMBER: 561711888

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/17/2024
Section Cited
HSC
1596.8662(b)(1)

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1596.8662(b)(1)
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider...

This requirements is not met as evidence by:
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Director will submit copies of mandated reporter training for all staff
Director will keep record on when training needs to be updated
Director is aware the training is needed to be done every 2 years.
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Based on record review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety, or personal rights risk to persons in care.
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Type B
05/31/2024
Section Cited
CCR101212(b)

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101212(b)
(b) The name of the childcare center director, and any fully qualified teacher(s) designated to act in the childcare center director's absence...
This requirements is not met as evidence by:
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Acting Director is pending wavier from licensing.
Acting Director will be completed with courses this week and will submit transcripts by 5/31/24
Director will send LPA in writing who designee of fully qualified teacher when director is not available.
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in 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.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Veronica DiazTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:
DATE: 05/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/10/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3