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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215068
Report Date: 02/27/2025
Date Signed: 02/27/2025 11:10:52 AM

Document Has Been Signed on 02/27/2025 11:10 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:LITTLE ARK PRESCHOOLFACILITY NUMBER:
406215068
ADMINISTRATOR/
DIRECTOR:		TRACY BROWNFACILITY TYPE:
850
ADDRESS:5545 ARDILLA AVENUETELEPHONE:
(805) 466-9544
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 22DATE:
02/27/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:55 AM
MET WITH:Tracy BrownTIME VISIT/
INSPECTION COMPLETED:
11:25 AM
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On 2/27/25, at 9:55 AM, Licensing Program Analyst (LPA) Matthew Sapien made an unannounced Case Management inspection at the abovementioned Child Care Center (CCC). LPA met with Tracy Brown, Director of the CCC and explained the nature and purpose of the inspection. LPA, in the company of the Director, toured the CCC. LPA notes 22 children are in care, along with 3 assistants providing care and supervision (cleared and associated).

The Case Management inspection follows an Unusual Incident at the CCC which occurred on 2/4/25. On 2/24/25, this incident was reported to the Department. Importantly to note, the operational hours for the CCC are Tuesday through Thursday from 8:00 AM until 12:00 PM.

During the incident, a child in care slipped and fell on their head in the bathroom of the CCC. Specifically, the child fell and hit their head on a metal door hinge. The fall resulted in the child crying and bleeding a fair amount on top of the head. At the time of the incident, the supervising teacher was assisting other children and did not visually see the fall happen. The teacher soon shifted their attention to the child who sustained the slip and fall. The teacher quickly applied a paper towel to the affected area and calmed the child. The Director was shortly notified where they came over with a warm wash cloth to further compress to the affected area. The bleeding eventually stopped. The Director then contacted the child's family and then took the supervising teacher's children to one of the classrooms to give the injured child their space.

The CCC contacted the child's grandparent who came to pick up the child because each of the parents were busy. One parent was out of the country and another was occupied at work. The CCC explained to the grandparent what had occurred. The parents were contacted a later point also explaining what had occurred. The CCC mentioned to the child's family that the CCC has liability insurance should the family want to pursue that route.

The grandparent of the child took said child to the Emergency Room (ER) where six stiches were given. Upon further medical examination at the ER, the child did not suffer a concussion or any further head injury as a result of the fall. (CONT. 809-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2025
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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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: LITTLE ARK PRESCHOOL
FACILITY NUMBER: 406215068
VISIT DATE: 02/27/2025
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On 2/6/25, two days following the incident, the child in care returned to the CCC. The Director notes that the child's affected head area was bandaged for protection.

The Director 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, Tracy Brown. Facility Representative was provided with a Notice of Site Visit (LIC 9213). Notice of Site Visit must be posted for 30 days or a civil penalty of $100 may apply.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
LIC809 (FAS) - (06/04)
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