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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426211729
Report Date: 05/31/2024
Date Signed: 05/31/2024 04:14:22 PM

Document Has Been Signed on 05/31/2024 04:14 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:ISLA VISTA CHILDREN'S CENTERFACILITY NUMBER:
426211729
ADMINISTRATOR/
DIRECTOR:		SERINEH VARTANIFACILITY TYPE:
850
ADDRESS:701 H WEST CAMPUS POINTE LN.TELEPHONE:
(805) 968-0488
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 14DATE:
05/31/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:29 PM
MET WITH:Serineh Vartani TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On May 31, 2024, Licensing Program Analysts (LPAs) Giovani Gonzalez and Julia Meli conducted an unannounced inspection at the above-mentioned Child Care Center (CCC). LPAs met with, Site Supervisor Elizabeth Padilla, Director Serineh Vartani, and Assistant Director Christine Broesamle. LPAs informed them of the purpose of the inspection.

The CCC self reported an incident where Child 1 (C1) displayed inappropriate behavior in front of other children on 5/21/2024.

LPAs interviewed staff that were present during the incident. Interviews revealed that C1 has a pattern of difficult behaviors, however it was the first time that C1 displayed inappropriate behavior. LPAs reviewed the incident with Director and Assistant Director, which revealed that they are working on getting the child extra support from other programs as well as having more 1 on 1 support from the staff.

Additional information is needed to conclude the Case Management - Incident. Report was reviewed with Director Serineh Vartani and Assistant Director Christine Broesamle and copy was provided. Notice of site visit was given
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2024
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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