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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421700377
Report Date: 11/06/2024
Date Signed: 11/06/2024 01:37:48 PM

Document Has Been Signed on 11/06/2024 01:37 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:ST. MARK PRESCHOOLFACILITY NUMBER:
421700377
ADMINISTRATOR/
DIRECTOR:		ANA SCHMIDFACILITY TYPE:
850
ADDRESS:3942 LA COLINA ROADTELEPHONE:
(805) 687-4111
CITY:SANTA BARBARASTATE: CAZIP CODE:
93110
CAPACITY: 70TOTAL ENROLLED CHILDREN: 70CENSUS: 53DATE:
11/06/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:51 PM
MET WITH:Ana SchmidTIME VISIT/
INSPECTION COMPLETED:
01:52 PM
NARRATIVE
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On November 6, 2024 Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced Case-Management- Deficiencies inspection to address a staff (S1) who does not have a criminal record clearance associated to the facility. LPA advised director, Ana Schmid of the purpose for the inspection. LPA toured the facility inside and outside. At the time of inspection there were 53 children in care of 9 staff.

During the inspection LPA observed S1 to be missing from the facility personnel roster. LPA asked S1 if they go by any other names, S1 stated no. LPA asked S1 how long they have been working at the facility, S1 stated more than 2 years. LPA asked Director to provide LPA with copy of Clearance letter, Director admits a clearance letter was not found in S1's file. LPA referenced the Guardian Portal to verify status of criminal record clearance. It was determined that the application was closed in 2022 due incomplete application. Guardian generated a letter addressed to S1 on 09/09/2022, indicating action was required.

During today's inspection one (1) Type A deficiency was issued and can be found on the attached 809-D.
LPA Martinez informed Director Ana Schmid that this report dated 11/06/24 documents One Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Martinez informed the Director Ana Schmid to provide a copy of this licensing report dated 11/06/24 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted, appeal rights were given, and report was reviewed with director Ana Schmid.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2024
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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Document Has Been Signed on 11/06/2024 01:37 PM - It Cannot Be Edited


Created By: Susana Martinez On 11/06/2024 at 01:10 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ST. MARK PRESCHOOL
FACILITY NUMBER: 421700377

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/06/2024
Section Cited
CCR
101216(i)(1)

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101216 Personnel Requirements(1)Prior to employment or initial presence in the child care center, all employees...shall(1)Obtain a California clearance or a criminal record exemption as required by law or Department regulations. This requirement was not met as evidence by:
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LPA observed staff member to leave the premises. Director will have S1 until criminal record clearance has been granted.
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Based on observation, interview and record review, the licensee did not comply with the section cited above as staff member does not have a criminal record clearance which poses an immediate Health, Safety, Personal Rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ana Tolentino
LICENSING EVALUATOR NAME:Susana Martinez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/06/2024


LIC809 (FAS) - (06/04)
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