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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421702142
Report Date: 03/12/2024
Date Signed: 03/12/2024 04:22:17 PM

Document Has Been Signed on 03/12/2024 04:22 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:CAC - GOLETA II CENTERFACILITY NUMBER:
421702142
ADMINISTRATOR:NEENAN, LORRAINEFACILITY TYPE:
850
ADDRESS:5681 HOLLISTER AVENUETELEPHONE:
(805) 967-3637
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY: 38TOTAL ENROLLED CHILDREN: 38CENSUS: 3DATE:
03/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Susana Del Toro TIME COMPLETED:
04:30 PM
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On March 12, 2024 at 4:00PM, Licensing Program Analysts (LPAs) S. Mendoza-Ceja and German Negrete conducted an unannounced Case Management inspection to follow up on an Unusual Incident Report (UIR) received by the Department on February 21, 2024.

LPAs met with Site Supervisor Susana Del Toro and Program Manager Mariam Angel, the purpose of the inspection was discussed. LPAs toured the center with Site Supervisor Susana Del Toro. LPAs observed 2 staff directly supervising 3 children in care during nap time.

LPAs spoke with Site Supervisor Susana Del Toro and Program Mariam Angel regarding the incident that occurred on February 20, 2024. The incident involved staff #1 who inappropriately held and pulled child #1’s clothing (hoodie) while chasing child #1 through the yard. Child #1 did not sustain injuries or marks. Staff #1 is no longer employed at the center. This incident was found to have been appropriately handled by the center following Title 22, Regulation requirements.

Based on observations and the interview with the Site Supervisor it is recommended the center contact the Santa Barbara County Education Office, Inclusive Early Education Expansion Program (IEEEP) at (805) 96-4710 ext. 4440 for additional training for staff to ensure further incidents do not occur.

There were no deficiencies cites at this time.

FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Sylvia Ceja
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2024
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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