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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216657
Report Date: 03/07/2024
Date Signed: 10/16/2024 02:42:16 PM

Document Has Been Signed on 10/16/2024 02:42 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:CASA DEI BAMBINIFACILITY NUMBER:
426216657
ADMINISTRATOR:MELISSA MONGEFACILITY TYPE:
850
ADDRESS:3910 CONSTELLATION RD STE 101TELEPHONE:
(805) 384-3690
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 5DATE:
03/07/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Melisssa Monge TIME COMPLETED:
05:50 PM
NARRATIVE
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On March 7 2024 at 2:00PM Licensing Program Analysts (LPAs) Giovani Gonzalez and Julia Meli conducted an unannounced Case Management inspection. At the time of inspection LPAs observed 2 teachers assistants providing care for 5 children. When LPAs arrived Site Supervisor Melissa Monge was not present however they later arrived at 2:51PM.

At the time of arrival LPAs spoke to Staff 1 (S1) and asked for the director or authorized representative.. S1 informed LPAs that Site Supervisor and teacher in charge had left.. LPAs asked S1 how many units they had and S1 stated that they had 6 units. LPAs asked Staff 2 (S2) how many units they had and S2 stated that they had no units. S1 and S2 were caring for 5 children ages 2-3 years old.. Based on this information, there were no fully qualified teacher present to supervise the teachers assistants at the time of the inspection.

4 Type B deficiencies are being cited on the attached LIC809D.

Exit interview was conducted and report was reviewed with Site Supervisor Melissa Monge.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 10/16/2024 02:42 PM - It Cannot Be Edited


Created By: Giovani Gonzalez On 03/08/2024 at 11:50 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: CASA DEI BAMBINI
FACILITY NUMBER: 426216657

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/14/2024
Section Cited
CCR
101216.1(c)(1)

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101216.1
Teacher Qualifications and Duties
(c) To be a fully qualified teacher, a teacher shall have one of the following:
(1) Twelve post-secondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program
This requirement is not met as evidenced by:
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Center will be create a plan to ensure that there is always a fully qualified teacher present in the center. Center will email plan to LPA no later than 3/14/2024 at giovani.gonzalez@dss.ca.gov
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LPAs spoke to staff present at the time of arrival and were informed that S1,S2 did not have 12 post-secondary units. No fully qualified teacher was present.
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Type B
03/14/2024
Section Cited
CCR101215.1(f)

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101215.1 Child Care Center Directors Qualifications and Duties
(f) When the child care center director is absent from the center, arrangements shall be made for a fully qualified teacher as specified in Section 101216.1(c) to act as substitute. This substitute child care center director shall be aware of center operations, including total enrollment; shall be trained in program operation; and shall be designated as an authorized person to correct operational deficiencies that constitute immediate threats to children's health and safety.
This requirement is not met as evidenced by:
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Center will create a plan to ensure that there is a substitute site supervisor present in the absence of the site supervisor. Center will email plan to LPA no later than 3/14/2024 at giovani.gonzalez@dss.ca.gov
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When LPAs arrived at 2:00PM Site Supervisor was not present and there was not a fully qualified teacher present to act as a substitute site supervisor. Site Supervisor arrived at 2:51PM
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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:Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2024


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 10/16/2024 02:42 PM - It Cannot Be Edited


Created By: Giovani Gonzalez On 03/08/2024 at 11:53 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: CASA DEI BAMBINI
FACILITY NUMBER: 426216657

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/14/2024
Section Cited
CCR
101216.3(a)

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(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.

This requirement is not met as evidenced by:
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Center will be create a plan to ensure that there is always a fully qualified teacher present in the center. Center will email plan to LPA no later than 3/14/2024 at giovani.gonzalez@dss.ca.gov
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At time of the inspection S2 and S2 were caring for 5 children, however neither were a fully qualified teacher.
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Type B
03/14/2024
Section Cited
CCR101216(f)

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101216 Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.
This requirement is not met as evidenced by:
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Center will be create a plan to ensure that there is always a staff member with a valid CPR/First Aid certificate present in the center. Center will email plan to LPA no later than 3/14/2024 at giovani.gonzalez@dss.ca.gov
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Upon LPAs review of personnel files of staff present during the inspection revealed that no staff had a valid Pediatric CPR/First Aid (EMSA approved) certificate.
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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:Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2024


LIC809 (FAS) - (06/04)
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