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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421700160
Report Date: 02/20/2025
Date Signed: 02/20/2025 03:25:49 PM

Document Has Been Signed on 02/20/2025 03:25 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, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:CASA DORINDAFACILITY NUMBER:
421700160
ADMINISTRATOR/
DIRECTOR:
BRIAN MCCAGUEFACILITY TYPE:
741
ADDRESS:300 HOT SPRINGS RD.TELEPHONE:
(805) 969-8011
CITY:SANTA BARBARASTATE: CAZIP CODE:
93108
CAPACITY: 360TOTAL ENROLLED CHILDREN: 0CENSUS: 349DATE:
02/20/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:35 PM
MET WITH:Brian McCague, AdministratorTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced case management visit to the facility in response to an incident/death report received on 2/18/2025. LPA met with Brian McCague, Administrator, Therese Brown, Senior Director of Health Services, and Nicole Caines, Director of Personal Care and explained the purpose of the visit.

LPA toured the Assisted Living building and obtained relevant documents for Resident 1 (R1). LPA conducted interviews from 1:45 pm through 2:45 pm with Administrator, Senior Director of Health Services, and Director of Personal Care about R1. On 2/19/2025, LPM Burley interviewed Therese Brown, Senior Director of Health Services by phone. The Santa Barbara County Sheriff’s Department was also contacted.

Based on the information obtained through record review and interviews, there was no evidence found to suggest neglect or lack of supervision resulted in or contributed to R1’s death, at this time. No citations will be issued at this time.

Exit interview, copy of report issued at the time of the visit.

Kelly BurleyTELEPHONE: (805) 562-0413
Kristin KontilisTELEPHONE: (805) 689-2787
DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
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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