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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274416280
Report Date: 10/19/2023
Date Signed: 10/19/2023 04:33:59 PM

Document Has Been Signed on 10/19/2023 04:33 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:LAURA'S BARN PRESCHOOL AND CHILD CARE CENTERFACILITY NUMBER:
274416280
ADMINISTRATOR:LAURA H & EVELYN WFACILITY TYPE:
850
ADDRESS:30 HITCHCOCK ROADTELEPHONE:
(831) 261-9897
CITY:SALINASSTATE: CAZIP CODE:
93908
CAPACITY: 21TOTAL ENROLLED CHILDREN: 21CENSUS: 4DATE:
10/19/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Laura HairTIME COMPLETED:
02:35 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Marilou Monico and Sheena Chin conducted a Case Management Inspection. LPAs toured the facility. LPAs observed a teacher's assistant supervising four children in the Preschool Classroom (Wild West).

Deficiency was cited on the following page:

NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023
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 10/19/2023 04:33 PM - It Cannot Be Edited


Created By: Marilou Monico On 10/19/2023 at 02:37 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: LAURA'S BARN PRESCHOOL AND CHILD CARE CENTER
FACILITY NUMBER: 274416280

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/20/2023
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision - No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Laura states that she will submit a written plan by 10/20/23 to ensure that teacher's aide will not be left alone with the children.
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This requirement was not met as evidenced by: LPAs observed a teacher's assistant alone supervising four preschool age children in the classroom. This poses an immediate risk to the health, safety and personal rights to children in care.
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Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

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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:Joel Segura
LICENSING EVALUATOR NAME:Marilou Monico
LICENSING EVALUATOR SIGNATURE:
DATE: 10/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/19/2023


LIC809 (FAS) - (06/04)
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