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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426207338
Report Date: 08/05/2021
Date Signed: 12/22/2023 10:29:37 AM

Document Has Been Signed on 12/22/2023 10:29 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:STORYTELLER CHILDREN'S CENTERFACILITY NUMBER:
426207338
ADMINISTRATOR:SUSAN CASSFACILITY TYPE:
850
ADDRESS:2115 STATE ST.TELEPHONE:
(805) 682-9585
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 4DATE:
08/05/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Susan CassTIME COMPLETED:
12:30 PM
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The purpose of this amendment is to update the administrator's name.

A Case Management Inspection was conducted by LPA S. Mendoza-Ceja who met with the Executive Director Susan Cass regarding an incident which occurred 06/25/2021. A risk assessment was conducted by LPA prior to entry into the preschool. The incident was reported to the Department as required. LPA reviewed child #1 file. The incident was found to be appropriately handled by the center.



No deficiency cited.

FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2021
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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