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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214911
Report Date: 10/23/2019
Date Signed: 10/23/2019 11:59:43 AM

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:ABC LEARNING PRESCHOOL & CHILDCAREFACILITY NUMBER:
566214911
ADMINISTRATOR:GRACE MONTEJANOFACILITY TYPE:
850
ADDRESS:333 W. HARVARD BLVDTELEPHONE:
(805) 933-3333
CITY:SANTA PAULASTATE: CAZIP CODE:
93060
CAPACITY:66CENSUS: 47DATE:
10/23/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Grace MontejanoTIME COMPLETED:
12:10 PM
NARRATIVE
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A Case Management Inspection was conducted by Licensing Program Analysts (LPAs) S. Mendoza-Ceja and B. Cervantes who met with the Director Grace Montejano. The center was toured inside and outside.

During the inspection, it was found that Victoria Neal was not associated to this center; however,
Victoria Neal does have a criminal record clearance with the Department and has a valid Child Development Site Supervisor Permit. LPAs advised failure to obtain the criminal record clearance association for Victoria Neal with this center has resulted in an immediate civil penalty of $500.000 assessed.

The following Type B deficiency is cited on page 2, according to CCR, Title 22, Division 12 in regards to the criminal record clearances. Appeal Rights reviewed.



The Notice of Site Visit was posted.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2019
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ABC LEARNING PRESCHOOL & CHILDCARE
FACILITY NUMBER: 566214911
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/23/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
10/23/2019
Section Cited

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101170 (e) (2) (h) Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f)
(h) Violation of Section 101170(e) will result in an immediate assessment of
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civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days by the Department. Based on observation, interview, and record review: the center failed to submit criminal record transfer for Victoria Neal. This poses a potential Health, Safety or Personal Rights risk to children in care. An immediate Civil Penalty Assessed $500.00.
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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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:
DATE: 10/23/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/23/2019
LIC809 (FAS) - (06/04)
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