421709944-9-18-2026-17-CC-GNEE-DY2PZP-20260918114551

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 421709944
Report Date: 09/18/2026
Date Signed: 09/18/2026 11:47:11 AM

Document Has Been Signed on 09/18/2026 11:47 AM - 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:	ORFALEA FAMILY CHILDREN'S CENTER		FACILITY NUMBER:	421709944
ADMINISTRATOR/ DIRECTOR:	ANNETTE MUSE		FACILITY TYPE:	830
ADDRESS:	WEST CAMPUS, UCSB		TELEPHONE:	(805) 893-3665
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93106
CAPACITY: 40	TOTAL ENROLLED CHILDREN: 40	CENSUS: 0	DATE:	09/18/2026
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:57 AM
MET WITH:	Jenny Greaney		TIME VISIT/ INSPECTION COMPLETED:	11:39 AM

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On 9/18/2026, Licensing Program Analyst (LPA) German Negrete conducted an unannounced Case Management-Licensee initiated inspection of the above-mentioned Child Care Center (CCC). LPA met with Jenny Greaney Program Coordinator of the CCC. LPA explained the purpose and nature of the inspection. The infant program requested to add a infant classroom and keep the current licensed capacity of 40 infants.

The infant program operates Monday through Friday from 7:30am to 5:20pm. The facility plans to keep utilizing rooms #1204A white door, 1206A yellow door and plans to utilize the new infant classrooms #352-Lavender door, for infant care services. At the time of the inspection, LPA observed zero infants in care along with zero staff providing care and supervision. The CCC's program coordinator assists with the care and supervision of children and infant on site when needed.

LPA observed required licensing forms and documents posted near the main entrance. A menu was also posted in a visible location. The CCC's utilizes paper forms for infant Sign In/Out records.

The classrooms were observed to be clean and orderly. The classrooms contained age-appropriate equipment, toys, and furnishings available to infants in care. The CCC has multiple carbon monoxide detectors and smoke detectors. LPA was unable to test smoke detector and Co2 detector; due to it being connected to one system.

The CCC utilizes 6 changing tables for infants in care. LPA observed the changing tables are clean and in a sanitary condition. LPA observed 6 sinks at arms length of the changing tables. LPA observed two operable refrigerator in the kitchen(s). When required, the refrigerator is utilized for food storage. LPA observed during inspection a total of 30 cribs for infants in care. (Continued on LIC 809-C)

Ana Tolentino
German Negrete
	DATE: 09/18/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2026

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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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)

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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: ORFALEA FAMILY CHILDREN'S CENTER	FACILITY NUMBER: 421709944
	VISIT DATE: 09/18/2026

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The CCC provides breakfast, lunch and afternoon snack to infants in care. Incidental Medical Services (IMS) [are not] provided to infants in care at this CCC. The CCC has filtered drinking water available to infants both inside and outside of the facility.

Disinfectants, cleaning solutions, sharps, and other potentially hazardous items were observed in locations accessible to staff members but inaccessible to children in care.

The CCC's infants outdoor playground areas are enclosed by fencing. The entry/exit gates were observed to be secured. The surfaces of the outdoor playground areas are varied. LPA observed age-appropriate play equipment in the outdoor play areas. The play equipment was observed to be free of sharp, loose, or pointed objects. The outdoor playground areas have adequate cushioning material to absorb falls. No bodies of water were observed on site.

During the inspection, LPA measured the on-limit areas and classrooms designated for infant care services.The facility will utilize three classrooms for care: #352 Lavender door, #1204A white door, #1206A yellow door.

Fire clearance was approved by fire Marshal on 9/1/2026.

The total indoor activity space measures 1904.66 square feet, which will accommodate the licensee's current capacity of 40 infants.

The total outdoor activity space measures 8290.60 square feet, which will accommodate the licensee's current capacity of 40 infants.

The CCC request of adding the new infant room is pending manager review.No deficiencies were issued during today's inspection. Report was reviewed with Program coordinator Jenny Greaney Notice of Site Visit was given. Appeal Rights were provided.

Notice of site visit was provided as required by Health and Safety Code Section 1596.817 and must remain posted in a prominent publicly accessible area in the center for 30 days, or a civil penalty of $100.00 will apply.

NAME OF LICENSING PROGRAM MANAGER: Ana Tolentino
NAME OF LICENSING PROGRAM ANALYST: German Negrete
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/18/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2026

LIC809 (FAS) - (06/04)

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