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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426208956
Report Date: 12/08/2021
Date Signed: 12/08/2021 04:10:35 PM

Document Has Been Signed on 12/08/2021 04:10 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:GIRLS INC. OF GREATER SANTA BARBARAFACILITY NUMBER:
426208956
ADMINISTRATOR:KRISTINA WEBSTERFACILITY TYPE:
840
ADDRESS:4973 HOLLISTER AVE.TELEPHONE:
(805) 967-0319
CITY:SANTA BARBARASTATE: CAZIP CODE:
93111
CAPACITY: 237TOTAL ENROLLED CHILDREN: 237CENSUS: 47DATE:
12/08/2021
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Jordan Brounstein and Anabel PadillaTIME COMPLETED:
04:20 PM
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On December 8, 2021 at 3:15 PM, Licensing Program Analysts (LPAs) S. Mendoza-Ceja and D. Thompson conducted an unannounced case management inspection and met with Jordan Brounstein and Anabel Padilla. The purpose of the inspection was to review the Accusation #7921123001, dated May 13, 2021, and the Decision and Order #7921123001 effective June 21, 2021 to ensure Serafin Salmon is not present at the facility. LPAs toured the center inside and outside.

The Department notified the center Serafin Salmon is prohibited from employment in presence in, and contact with clients of, any facility licensed by the Department, certified or approved by a licensed foster family agency, or any resource home. Serafin Salmon has been excluded from all facilities licensed by the Department for the remainder of his life, unless he successfully petition for reinstatement or reduction of penalty pursuant to Government Code Section 11522.

LPA provided a copies of the Accusation #7921123001, dated 05/13/2021, and the Decision and Order #7921123001 effective June 21, 2021.

Anabel Padilla stated Serafin Salmon was hired, but never worked at the center because he failed to obtain the criminal record clearance/exemption with the Department.

LPAs determined Serafin Salmon is not on the premises.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2021
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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