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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216678
Report Date: 02/14/2024
Date Signed: 02/14/2024 01:07:38 PM

Document Has Been Signed on 02/14/2024 01:07 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:LA PATERA PRESCHOOLFACILITY NUMBER:
426216678
ADMINISTRATOR:ABBY VASQUEZ, KIMBERLY BRUFACILITY TYPE:
850
ADDRESS:555 N. LA PATERA LANETELEPHONE:
(805) 681-1280
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY: 48TOTAL ENROLLED CHILDREN: 37CENSUS: 29DATE:
02/14/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Kim BruzzeseTIME COMPLETED:
01:15 PM
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On 02/14/24, at 10:00 AM, Licensing Program Analysts (LPAs) Martina Jimenez and Joaquin Mendez, conducted an unannounced Case Management Inspection, as a follow up to a self-reported Unusual Incident Report (UIR) received by the Department on 02/08/24. Circumstances of the UIR is during the routine morning inspection, classroom and storage closet were found to have rodent dropping.

LPAs met with Kim Bruzzese, Director of the CCC and advised of the purpose of this inspection. LPAs observed 28 children being cared by 7 staff on site during this inspection in classroom.

LPAs discussed the incident with the Director. Director, the classroom and storage room were deep cleaned and disinfected, all potential entries where they would possibly allow rodents to enter the classroom or storage room were sealed.

On 2/14/2024, LPAs, staff and the Director observed three (3) separate areas in the classroom of rodent droppings and an odor from underneath the sink located in the children's classroom.

The Director with Shawn Dahlen, Maintenance Supervisor, stated the an outside contractor will be coming in on 2/14/2024, to conduct a deep cleaning, disinfect, the classroom and underneath the sink located in the classroom #24.

This Reported Continues on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LA PATERA PRESCHOOL
FACILITY NUMBER: 426216678
VISIT DATE: 02/14/2024
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A Technical Assistance was issued in accordance to Title 22 of the California Code of Regulations. LPA forwarded a Notice of Site Visit which is to be posted as required by H&S Code Sec.1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty $100.00 may apply.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024
LIC809 (FAS) - (06/04)
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