<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216506
Report Date: 10/22/2025
Date Signed: 10/22/2025 03:52:09 PM

Document Has Been Signed on 10/22/2025 03:52 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:SAN LUIS OBISPO CLASSICAL ACADEMYFACILITY NUMBER:
406216506
ADMINISTRATOR/
DIRECTOR:		MERIDETH EADESFACILITY TYPE:
830
ADDRESS:110 GRAND AVE.TELEPHONE:
(805) 548-8700
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 11DATE:
10/22/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Veronica TamisoTIME VISIT/
INSPECTION COMPLETED:
04:20 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 10/22/2025, at 10:30 AM, Licensing Program Analyst (LPA) Shane Loftus conducted an unannounced Case Management Inspection of the above-mentioned Child Care Center (CCC) as a follow up to an Unusual Incident Report (UIR) received by the Department on 10/14/2025. LPA notes the incident occurred on 10/02/2025. Circumstances of the UIR involved a child (C1) left unattended in the toddler play yard.

The LPA met with Veronica Tamiso, Assistant Director of the CCC and explained the purpose of the inspection. The LPA, in the company of Assistant Director, toured the interior and exterior of the CCC. LPA observed ten (10) children on site during the inspection along with five (5) teachers.

Upon discussing the UIR with the Assistant Director, LPA was informed that C1 was found unattended in the toddler play yard by a parent (A1) who arrived at the CCC to pick up her child (C2). Parent and staff interviews revealed that staff and children were in the classroom while C1 was approximately 10 feet outside of the classroom, near the CCC's office. A1 stood with the C1 for approximately 2-3 minutes. A1 then entered the classroom to collect C2. A1 reported that the two teachers (S1 and S2) were surprised to see C1 was not in the classroom. LPA notes that the parents of C1 were not notified of the incident until 10/20/2025.

Continued on 809-C

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Shane Loftus
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
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)
Page: 2 of 5
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: SAN LUIS OBISPO CLASSICAL ACADEMY
FACILITY NUMBER: 406216506
VISIT DATE: 10/22/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on interviews with parents and CCC staff, it is determined that there was a lack of care and supervision provided at the time of the incident. Additionally, the CCC did not report the incident to Community Care Licensing Division (CCLD) or the parents of C1 in accordance with the regulations.

As such, one Type A and two Type B deficiencies are being cited under Title 22 of the California Code of Regulations. Upon receipt of this report, the Director 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.

Director/CCC is to provide LIC 9224 for each child in care, have each parent sign the form that they have received a copy of the report LIC 809 and LIC 809 D and maintain the signed forms in the facility files. Director was provided with the LIC 9224 form. The Assistant Director was provided a copy of their Appeal Rights (LIC9058) and their signature on this form acknowledges receipt of these rights.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Shane Loftus
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC809 (FAS) - (06/04)
Page: 5 of 5
Document is an Amendment of Original Document on 10/27/2025 10:15 AM


Created By: Shane Loftus On 10/22/2025 at 03:05 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: SAN LUIS OBISPO CLASSICAL ACADEMY
FACILITY NUMBER: 406216506

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/23/2025
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time
1
2
3
4
5
6
7
Licensee will submit a written statement explaining their understanding of the regulation cited. Additionally, Licensee will explain policies and procedures used by CCC staff to ensure children are not left unsupervised.
8
9
10
11
12
13
14
This requirement was not met as evidenced by. Based on interviews and observation, the licensee did not comply with the section cited above in that C1 was left unattended in the toddler play.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Maria Mueller
NAME OF LICENSING PROGRAM MANAGER:
Shane Loftus
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/22/2025


LIC809 (FAS) - (06/04)
Page: 3 of 5
Document is an Amendment of Original Document on 10/27/2025 10:15 AM


Created By: Shane Loftus On 10/22/2025 at 03:17 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: SAN LUIS OBISPO CLASSICAL ACADEMY
FACILITY NUMBER: 406216506

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/31/2025
Section Cited
CCR
101212(f)

1
2
3
4
5
6
7
This is an amended report to reflect two Type B ciations on one 809-D. 101212 Reporting Requirements (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.

1
2
3
4
5
6
7
Licensee will submit a written statement explaining their understanding of the regulation cited. Additionally, Licensee will explain policies and procedures used by CCC staff to ensure parents are notified as required.
8
9
10
11
12
13
14
This requirement is not met as evidenced by. Based on interviews and records review, the licensee did not comply with the section cited above in that the parents of C1 were not notified of the incident until 10/20/2025. The incident occurred on 10/02/2025.
8
9
10
11
12
13
14
Type B
10/31/2025
Section Cited
CCR101212(d)(1)(C)

1
2
3
4
5
6
7
101212(d)(1)(C) Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events specified...a report shall be made to the Department within the Department's next working day...(1)Events reported shall include the following (C) Any
1
2
3
4
5
6
7
Licensee will submit a written statement explaining their understanding of the regulation cited as well as the steps they are taking with staff to ensure this incident does not reoccur.
8
9
10
11
12
13
14
child absence.
This requirement is not met as evidenced by.
The incident noted occurred on 10/02/2025 and reported to the department on 10/14/2025.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Maria Mueller
NAME OF LICENSING PROGRAM MANAGER:
Shane Loftus
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/22/2025


LIC809 (FAS) - (06/04)
Page: 4 of 5