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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215063
Report Date: 05/28/2026
Date Signed: 05/28/2026 11:22:59 AM

Document Has Been Signed on 05/28/2026 11:22 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:CUESTA COLLEGE CHILDREN'S CENTER NORTH COUNTYFACILITY NUMBER:
406215063
ADMINISTRATOR/
DIRECTOR:		LAURINDA WAGNERFACILITY TYPE:
850
ADDRESS:2800 BUENA VISTA DRIVETELEPHONE:
(805) 592-9575
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 0DATE:
05/28/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Amy YoungTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 5/28/26, at 10:15 AM, Licensing Program Analyst (LPA) Matthew Sapien made an unannounced Case Management (Incident) inspection at the abovementioned Child Care Center (CCC). LPA met with Amy Young, Facility Representative of the CCC, and explained the nature and purpose of the inspection. LPA, in the company of the Facility Representative, toured the CCC in its entirety. At the time of the inspection, LPA observed 0 children in care. The CCC is currently on break from instruction. In addition to the Facility Representative of the CCC, LPA also observed 7 staff assistants present on site (cleared and associated). Importantly to note, the CCC is on the grounds of the Cuesta College North County Campus.

This Case Management inspection follows an Unusual Incident at the CCC which occurred on 5/22/26. The incident was reported to the Department on 5/26/26 through a telephone call. LPA reminded the Facility Representative of the timelines to follow when it comes to reporting requirements of incidents. Importantly to note, the CCC’s hours of operation are Monday through Thursday from 7:30 AM until 5:15 PM and on Friday from 7:30 AM until 3:00 PM. During the summer months, the CCC is closed on Fridays.

In regards to the incident, on 5/22/26, on the final day of instruction, Child 1 (will hereby be referenced as "C1"), was playing on the playground. While on the playground, C1 tripped on their own shoe and fell. The fall resulted in C1 hitting their forehead on the corner of an outdoor plastic staircase. After the fall, Staff Member 1 (will hereby be referenced as "S1") quickly picked up the child and consoled them. S1 applied pressure with a gauze pad to the affected area and later added a band aid to the wound. On-site staff notified the parents of C1 within a few minutes who shortly arrived to the CCC thereafter to pick up C1 (approximately thirty minutes). C1 was later taken to a local urgent care where stiches were given. C1 hasn't returned to school as the CCC, again, is currently closed for instruction until the summer session starts. (CONT. LIC 809-C, Page 2)

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Matthew Sapien
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/28/2026
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: CUESTA COLLEGE CHILDREN'S CENTER NORTH COUNTY
FACILITY NUMBER: 406215063
VISIT DATE: 05/28/2026
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During today's visit, 5/28/26, LPA toured the facility and placed a particular emphasis on the area where the incident occurred. LPA also had in-depth conversation with the Facility Representative. Facility Representative showed LPA a video of the accident occurring. LPA determined the fall to be an accident rather than a lack of proper care and supervision. LPA reminded the staff of the importance of active supervision over children in care and to report any incidents in a timely manner as they arise.

The Facility Representative was provided a copy of their Appeal Rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. An exit interview was conducted with Facility Representative, Amy Young. Facility Representative was provided with 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.

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

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
LIC809 (FAS) - (06/04)
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