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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406213282
Report Date: 03/05/2025
Date Signed: 03/05/2025 12:42:57 PM

Document Has Been Signed on 03/05/2025 12:42 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CAPSLO - CUESTA INFANT CENTER - RM 4021FACILITY NUMBER:
406213282
ADMINISTRATOR/
DIRECTOR:		A. RAMIREZ-BARRONFACILITY TYPE:
830
ADDRESS:4000 CHORRO VALLEY RDTELEPHONE:
(805) 546-3285
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
03/05/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:16 AM
MET WITH:Penny GlassTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 3/5/25, Licensing Program Analyst (LPAs) Shane Loftus conducted an unannounced Case Management Inspection of the above-mentioned Child Care Center (CCC) to address an incident report received by CCLD on 2/27/25. LPA notes 5 children are in care at the time of the inspection along with 3 teachers providing care and supervision.

During drop off on 2/27/25, S1 was informed by S2 that C1 was left in the driver’s seat of a car while the car was running. P1 was dropping off two siblings of C1 at the center. It is estimated that the duration C1 was left in the vehicle was 5 – 10 minutes. It should be noted C1 does not attend the CCC.

Site Supervisor provided LPA an account of what transpired. S1 was informed of the incident after P1 left. A family service advocate was notified and spoke with P1 explaining that what occurred is not allowed and referenced a policy that P1 was informed of during enrollment. S1 believes this may have happened in the past as P1 is very quick at drop offs, usually not having time to speak with staff. Facility staff is now mindful of this moving forward.

No deficiencies were cited during today's inspection. A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Failure to comply with posting requirements may result in a civil penalty of $100. Exit interview conducted and report was reviewed with Facility Representative Penny Glass.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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