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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421700134
Report Date: 05/31/2024
Date Signed: 05/31/2024 12:33:41 PM

Document Has Been Signed on 05/31/2024 12:33 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:GRACE LUTHERAN PRESCHOOLFACILITY NUMBER:
421700134
ADMINISTRATOR/
DIRECTOR:		KATHY LYNN LEDOUXFACILITY TYPE:
850
ADDRESS:420 EAST FESLERTELEPHONE:
(805) 922-5419
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 63TOTAL ENROLLED CHILDREN: 63CENSUS: 0DATE:
05/31/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 5/31/24, Licensing Program Analysts (LPAs) Elvin Baddley and Joaquin Mendez attempted to conducted an unannounced Case Management Legal/Non-compliance visit/ inspection of the abovementioned Child Care Center (CCC). LPAs note the facility is on the grounds of Grace Lutheran Church in Santa Maria, CA. Additionally, the CCC ceased child care services on 4/12/24, effectively closing the CCC. The purpose of the visit/inspection was to deliver Decision and Order CDSS No. 64240221011, with regard to Hazel Power, and Decision and Order CDSS No. 6424022101J, with regard to Amelia Chastain.

Upon arrival of the facility, LPAs went to Grace Lutheran Church's office. The door to the church office was closed. LPAs contacted the facility number of record. The facility number of record went to a voice message system. LPA Baddley left a voicemail message on the system requesting a return call.

LPAs left copy of aforementioned Decision and Order at office door in envelope, along with a copy of Appeal Rights (LIC 9058). The envelope was photoed. In addition to leaving this report, the report will be mailed to the facility address. .
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2024
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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