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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216037
Report Date: 12/09/2024
Date Signed: 12/09/2024 09:27:26 AM

Document Has Been Signed on 12/09/2024 09:27 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:GROWING BABIES INFANT CENTERFACILITY NUMBER:
426216037
ADMINISTRATOR/
DIRECTOR:
NICOLE HAMMOCKFACILITY TYPE:
830
ADDRESS:3721 MODOC ROADTELEPHONE:
(805) 967-8318
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 16DATE:
12/09/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Crista TrujilloTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
NARRATIVE
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On 12/09/2024 Licensing Program Analyst (LPA) German Negrete made an unannounced visit for the purpose of conducting a Case Management – Deficiency Inspection. Today LPA met with Center Director Crista Trujillo , LPA did a walk through of the Infant Center(Facility) with Director. LPA observed at the time of the walk-through 16 infants being supervised by 6 staff.

The purpose of the case management inspection was due to deficiencies LPA discovered during the course of a complaint investigation(See LIC9099). Deficiencies do not pertain to the Complaint allegations. However due to the investigation, the facility submitted 90 calendar days of infant sign in/ out sheets to the department. LPA reviewed the sign in/out sheets and noted the following : On 7/17/2024 C31 signed in at 9:14AM, no sign out was registered. On 7/19/2024 C27 signed in at 8:56AM no sign out was registered. Lastly on 10/03/2024 C38 was signed in at 8:38AM no sign out was registered. Today Facility will receive a Type B deficiency for being out of compliance with Section 101226.1(b) of Title 22 California Code of Regulations(See LIC809-D).

Furthermore based on the record review and observations, it was discovered Staff#2’s background clearance currently is not associated to the aforementioned Facility. The Facility will receive a technical violation(See LIC9102).

Exit interview conducted with Director.

Appeal rights were provided.

Notice of site visit was issued.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2024
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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Document Has Been Signed on 12/09/2024 09:27 AM - It Cannot Be Edited


Created By: German Negrete On 12/09/2024 at 08:29 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: GROWING BABIES INFANT CENTER

FACILITY NUMBER: 426216037

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/13/2024
Section Cited
CCR
101226.1(b)

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101229.1 Sign In and Sign Out...

(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out. Based on observation and document review...
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Facility will draft a memo for parents. The memo will be read and signed by every parent, in order to remind parents of Title 22 CCR, Section 101229.1(b). The Center will submit a copy of the signed memo via email to german.negrete@dss.ca.gov
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the Center did not comply with the section cited above, on 7/17/2024 C31 signed in at 9:14AM, no sign out was registered. On 7/19/2024 C27 signed in at 8:56AM no sign out was registered. Lastly on 10/03/2024 C38 was signed in at 8:38AM no sign out was registered.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ana Tolentino
LICENSING EVALUATOR NAME:German Negrete
LICENSING EVALUATOR SIGNATURE:
DATE: 12/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/09/2024


LIC809 (FAS) - (06/04)
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