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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216381
Report Date: 12/06/2023
Date Signed: 12/06/2023 12:21:05 PM

Document Has Been Signed on 12/06/2023 12:21 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:SBCEO - JUST FOR KIDS STATE PRESCHOOLFACILITY NUMBER:
426216381
ADMINISTRATOR:JANELLE WILLISFACILITY TYPE:
850
ADDRESS:1211 EAST PINE AVENUE, ROOM E1TELEPHONE:
(805) 770-9709
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY: 26TOTAL ENROLLED CHILDREN: 26CENSUS: 21DATE:
12/06/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Artisia CarlonTIME COMPLETED:
12:35 PM
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On December 6, 2023, Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced Case Management inspection. LPA met with Office Coordinator Artisia Carlon and advised her the purpose of the inspection. LPA was provided a tour of the facility. At the time of inspection there were 21 children in care of 4 staff.

On 9/12/23, Associate Teacher Juana Zarrate contacted Community Care Licensing (CCL) to self-report an incident involving a child (C1) who was left unattended in the outdoor play area on 9/8/23.

LPA Martinez interviews Associate Teacher Juana who states a parent came into the facility and talked for a couple seconds. While teacher and parent were talking, the door was left opened. Once the parent left, teacher closed the room door. According to teacher Juana, a couple seconds later a teacher aid working on the yard knocked on the door. The teacher aid pointed out one of the center's children sitting on the outdoor play structure. Child was brought back into the classroom. Teacher Juana estimates this incident happened within one minute. Child was not found in distress.

To prevent any similar incidents, teacher Juana states they have implemented adding a baby gate at the entrance of the door while the door is open. This will prevent children from leaving the room. Teacher Juana also states teachers are constantly conducting head counts to keep track.

Given the incident was observed by staff who took appropriate action by reporting the incident to Licensing and implementing new protocols for the room, no deficiencies are being issued as a result of this incident.

Exit interview conducted with coordinator Artisia Carlon.

Notice of site visit was given.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2023
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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