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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426207338
Report Date: 10/17/2023
Date Signed: 10/17/2023 04:55:51 PM

Document Has Been Signed on 10/17/2023 04:55 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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:STORYTELLER CHILDREN'S CENTERFACILITY NUMBER:
426207338
ADMINISTRATOR:JACQUELINE MCDONOUGHFACILITY TYPE:
850
ADDRESS:2115 STATE ST.TELEPHONE:
(805) 682-9585
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: DATE:
10/17/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Jacqueline Mcdonough TIME COMPLETED:
12:00 PM
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On October 17 2023, Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced Case Management - Incident inspection at the above-mentioned Child Care Center (CCC). LPA met with Director Jacqueline McDonough and informed them the purpose of the inspection was to follow up on an incident regarding a neighbor reporting that "Staff 2 (S2)" drove aggressively down the alley, almost hitting them.

LPA, Director and Staff 1 (S1) discussed the incident. Director informed LPA that they have had ongoing issues with the neighbor. S1 mentioned that when they spoke to the neighbor, they were referred to as "S2," however S2 was not on site at the time incident.

LPA reviewed a written statement from S1 stating that they were the one to have a confrontation with the neighbor. S1 stated that they saw a lady in close proximity to the employee cars and that this neighbor has a history of harassing the staff. S1 confronted the neighbor and asked them if they needed any help. S1 told the neighbor that it was best for them to leave and then the neighbor became verbally aggressive. S1 then decided to take a picture of the person so that they can correctly identify them, for when they report it to their supervisor.

Based on the information obtained from the S1's written statement and discussion with the Director, no deficiencies are being cited.

Notice of site visit was provided to the CCC and CCC was advised that it must remain posted for the next 30 days.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2023
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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