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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406214085
Report Date: 09/14/2026
Date Signed: 09/14/2026 01:03:08 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 09/14/2026 01:03 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:SHEPHERD'S CHRISTIAN PRESCHOOLFACILITY NUMBER:
406214085
ADMINISTRATOR/
DIRECTOR:
TERESA A. SHEPHERDFACILITY TYPE:
850
ADDRESS:4410 PORTOLA ROADTELEPHONE:
(805) 406-0798
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 8DATE:
09/14/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:10 PM
MET WITH:Teresa ShepherdTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On 9/14/26, at 12:10 PM, Licensing Program Analyst (LPA) Matthew Sapien conducted an annual random inspection of the abovementioned Child Care Center (CCC). LPA met with Teresa Shepherd, Director of the CCC, and explained the nature and purpose of the inspection. LPA toured the entirety of the the CCC. The CCC uses two classrooms (toddler or "little ones" and pre-k classroom), staff office (eating area for children), one bathroom, and one outdoor play area. Importantly to note, the CCC has a toddler option component and also sits on a property that is approximately 2 acres.

The CCC's operational hours are Monday through Friday from 7:30 AM until 5:30 PM. At the time of the inspection, LPA observed 8 children in care and 2 additional staff members (cleared and associated).

The two classrooms of the CCC wew found to be clean and orderly. The classrooms have age-appropriate equipment and furnishings for children in care. The classrooms contain various closets and a number of cabinets all of which contain items, equipment, and other related objects for children in care. As mentioned previously, the CCC uses one bathroom which is located within the pre-k classroom. The bathroom contains two sinks and two toilets for children to use. The bathrooms were found to be clean, orderly, and rid of any toxins.

Children enjoy one morning snack and lunch which are each brought from home. On the other hand, afternoon snacks are provided by the CCC. Water is supplied by the CCC with filtered water pitchers. Children bring reusable water bottles to drink with.

CCCs constructed before 1/1/20, are supposed to test their water (used for drinking and food preparation) for lead contamination before 1/1/23, and then every 5-years except after the date of the first test. For child (CONT. LIC 809-C, Page 2)

Maria Mueller
Matthew Sapien
DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: SHEPHERD'S CHRISTIAN PRESCHOOL
FACILITY NUMBER: 406214085
VISIT DATE: 09/14/2026
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care center licenses issued after 7/1/22, 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. Testing runs valid through May of 2030.

LPA observed daily routine schedules, required notices, and other relevant licensing forms posted prominently in the staff office. LPA also reviewed the children's sign in and sign out within the staff office and found the arrival times of children in care from the day. Sign in and sign outs are completed by parents in writing. LPA found that the CCC completed their most recent disaster drill on the following date: 9/9/26. Director informed LPA that the CCC conducts disaster drills every single month with children in care.

Dual carbon and smoke detectors were observed in the CCC. These detectors were not tested by the LPA, however, as the CCC's detectors are integrated in the building's fire detection system. LPA was informed that the building's detectors are checked regularly and are operational. Cleaning supplies are kept in elevated areas throughout the classrooms of the CCC. Cleaning supplies are also stored within the staff office beneath the kitchen sink in a locked cabinet. Sharps, like kitchen knives, are also stored in the staff office in a locked and elevated cabinet. Currently, no children require medication, however, the CCC has a large lockbox in the staff office. LPA observed multiple First Ait Kits throughout the CCC. The First Aid Kits were observed to contain appropriate supplies.

The outdoor playground area is enclosed by secure wooden fencing throughout. The fence’s entry and exit gates are secure and equipment in the area are age appropriate. The play equipment was found to be free of sharp, loose or pointed objects. The play structure in the outdoor playground area has adequate cushioning materials to absorb falls (wood chips). The surface of the outdoor playground area was varied. The areas were made up of the following: concrete pavement, dirt, rock, wood chips, sand, and natural grass. Shade is afforded by various structures, sun sails, and sizable trees. LPA observed a sandbox, communal garden, and picnic area enclosed by a wooden like pergola structure in the yard. Due the large size of the backyard, LPA emphasized the importance of active supervision over children in care while engaged in outdoor activity. In the backyard, LPA also observed one large dog. Director informed LPA that the dog is current on their vaccinations and has friendly interactions with children in care. Director informed LPA that children also periodically attend to chickens in the front yard of the CCC. Parents are aware of these interactions with the chickens. LPA reminded the Director of the importance of safe hygiene practices following interactions with children in care. Facility Representative attested to LPA that children are always supervised while outside and that the outdoor area is inspected prior to letting children outside. (CONT. 809-C, Page 3)

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Matthew Sapien
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: SHEPHERD'S CHRISTIAN PRESCHOOL
FACILITY NUMBER: 406214085
VISIT DATE: 09/14/2026
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A sampling of staff and children's records were reviewed by the LPA. The children’s records were found to be complete and contained emergency contact information as well admission agreements, among other relevant licensing forms. Staff records were reviewed by the LPA and contained current pediatric CPR and First Aid certifications (EMSA approved) and Mandated Reporter Training certificates among other relevant licensing forms. LPA confirmed with the Facility Representative that there are no bodies of water, firearms, or ammunition that are kept on site.

LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. Currently, this facility does not care for infants 24 months and under.

Currently, this facility does not provide Incidental Medical Services – IMS. 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 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/.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, as specified in HSC 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.

Facility representative was also 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.

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.

During today's visit, no citations were issued

During the exit interview, the Facility Representative confirmed that there are no Registered Sex Offenders living in the facility when the LPA completed an RSO profile in FAS on 9/14/26.

Facility Representative was provided with Appeal Rights (LIC 9058) and also a Notice of Site Visit (LIC 9213). The Notice of Site Visit form must be posted for 30 days or a civil penalty of $100 may apply.

An exit interview was conducted, and the report was reviewed with Facility Representative, Teresa Shepherd.

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Matthew Sapien
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026
LIC809 (FAS) - (06/04)
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