<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 401712378
Report Date: 01/24/2022
Date Signed: 01/24/2022 02:04:38 PM

Document Has Been Signed on 01/24/2022 02:04 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:LAUGH & LEARN PRESCHOOLFACILITY NUMBER:
401712378
ADMINISTRATOR:JULIE SOTOFACILITY TYPE:
850
ADDRESS:1315 VINEYARD DRIVETELEPHONE:
(805) 434-2223
CITY:TEMPLETONSTATE: CAZIP CODE:
93465
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 17DATE:
01/24/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Monique McteerTIME COMPLETED:
12:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 1/24/2022, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Case Management inspection. Prior to inspection, LPA asked pre screening questions related to COVID 19, Licensee's responses indicate there was no COVID exposure on site. LPA met with Licensee and explained the nature of the inspection. There were 17 children present during the inspection.

In the course of an investigation, it was ascertained that an incident of inappropriate interaction among day care children occurred at the Child Care Center (CCC) on March 23, 2021.

The CCC did not notify Community Care Licensing of the aforementioned incident within 24 hours upon the occurrence of the incident. Director Julie Soto stated that initially there was no incident to report because day care children stated they were just being playful and did not do anything.

Futher, CCC did not notify parents of the incident after it occurred. Parent contacted Director to inquire about the incident who according to parent Director forgot to mention about it due to a busy pick up time situation.

During today's inspection, deficiencies were cited under CCR Title 22 Division 12 on LIC 809 D

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Julie Soto

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2022
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 2
Document Has Been Signed on 01/24/2022 02:04 PM - It Cannot Be Edited


Created By: Gigi Reyes On 01/24/2022 at 12:51 PM
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: LAUGH & LEARN PRESCHOOL
FACILITY NUMBER: 401712378

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/24/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/28/2022
Section Cited
CCR
101212(d)(1)

1
2
3
4
5
6
7
Reporting Requirements
Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax...This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee submitted the Unususal Incident Report Form to LPA on 11/03/2021. Diector and Licensee agreed to submit the UIR upon occurrence of the incident within 24 hours from the occurence of the incident
8
9
10
11
12
13
14
Based on the interviews and record review, on 3/23/2021 incident of inappropriate interaction among day care children occurred at day care. Director stated that she prepared the incident report and provided it to LPA on 11/03/2021.Center failed to notify the department on time. This poses a potential risk to health and safety of children in care.
8
9
10
11
12
13
14
Type B
01/24/2022
Section Cited
CCR101212(f)

1
2
3
4
5
6
7
Reporting Requirments
The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee and director agreed to notify the parents of all the reportable incidents on the day the incident occur. Licensee shall submit a written plan of correction to ensure that incidents will be reported to authorized representative upon the occurence.
8
9
10
11
12
13
14
Based on LPA's review of record and interview conducted, CCC failed to notify the parents of the incident the occured at day care on 3/23/2021. This poses a potential risk to health and safety of chidlren in care.
8
9
10
11
12
13
14
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:Maria Mueller
LICENSING EVALUATOR NAME:Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 01/24/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2022


LIC809 (FAS) - (06/04)
Page: 2 of 2