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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215117
Report Date: 09/08/2025
Date Signed: 09/08/2025 11:49:08 AM

Document Has Been Signed on 09/08/2025 11:49 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:CAPSLO-GEORGIA BROWN EARLY HEAD STARTFACILITY NUMBER:
406215117
ADMINISTRATOR/
DIRECTOR:		JUDE CONTRERASFACILITY TYPE:
850
ADDRESS:3600 OAK ST. ROOM 105TELEPHONE:
(805) 226-9945
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 8DATE:
09/08/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:Jude ContrerasTIME VISIT/
INSPECTION COMPLETED:
12:10 PM
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On 9/8/25, at 9:35 AM, Licensing Program Analyst (LPA) Matthew Sapien made an unannounced Case Management inspection at the abovementioned Child Care Center (CCC). LPA met with Jude Contreras, Site Supervisor of the CCC, and explained the nature and purpose of the inspection. LPA, in the company of the Site Supervisor, toured the CCC. At the time of the inspection, LPA observed 8 children in care. In addition to the Site Supervisor of the CCC, LPA also observed three other staff assistants present on site (cleared and associated).

This Case Management inspection follows an Unusual Incident at the CCC which occurred on 8/22/25. The incident was reported to the Department on 8/25/25 and was sent via fax message. Importantly to note, the CCC’s hours of operation are Monday through Friday from 8:30 AM until 4:30 PM.

In regards to the incident, on 8/22/25 at 1:44 PM, a staff member from Child Welfare Services ("Child Welfare Services Staff Member" or "CWS SM") arrived at the CCC and informed CCC staff that a child in care ("Child 1" or "C1") needed to be talked to and examined due to an incident taking place at C1's household the night prior. One of C1's parents, ("Parent 2" or "P2"), gave permission to the CWS SM that permission was given to visit the CCC. The CWS SM arrived at the facility, showed their badge, and also presented a warrant. Site Supervisor proceeded to walk the CWS SM into one of the CCC's classrooms and show the worker C1's legs and arms. Nothing significant was observed on the legs or arms of the child. The CWS SM observed C1 and proceeded to leave the facility. Upon departure, the CWS SM gave the Site Supervisor business cards for their keeping and asked to give one to C1's mother ("Parent 1" or "P1"). The CWS SM left the CCC at 2:01 PM.

On the same date of the incident, 8/22/25, around 3:22 PM, P2 arrived at the CCC to pick up C1. P2 did not have an ID present upon arrival so P2 was required to leave and retrieve some form of identification. At 3:48 PM, P2 arrived again at the CCC and presented ID to staff and proceeded to sign C1 out at 3:52 PM.

On the same date of the incident, 8/22/25, around 4:15 PM, P1 arrived at the CCC to pick up their child. CCC staff (CONT. 809-C, Page 2).

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Matthew Sapien
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/08/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CAPSLO-GEORGIA BROWN EARLY HEAD START
FACILITY NUMBER: 406215117
VISIT DATE: 09/08/2025
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informed P1 that P2 had already picked up the child from the CCC. P1 informed staff that P2 shouldn't have picked up C1 due to behavioral issues as determined by the CWS SM. Staff reached out the Site Supervisor who had already left for the day. At 4:21 PM, the Site Supervisor returned to the CCC and spoke to P1 to brief P1 of the events of the day. P1 informed Site Supervisor that they spoke to the CWS SM over the phone and it was determined that P2 would not be allowed to pick up the child from child care. Site Supervisor asked P1 if anything was presented in writing on the decision for P2 to not pick up C1, however, no documentation was obtained by P1. Site Supervisor stated to P1 that without proper documentation verifying this by Child Welfare Services, the CCC was able to allow P2 to pick up C1. P1 further stated to the Site Supervisor that proper documentation will be gathered and obtained soon.

On the same date of the incident, 8/22/25, P1 called the CWS SM and explained the situation. Site Supervisor also called the Paso Robles Police Department and explained the situation. At 4:48 PM, the Police Department arrive to the CCC and was briefed of the situation by the Site Supervisor and P1. Police informed P1 that since no court ordered documentation was obtained, P2 could pick up the child from child care. With the Site Supervisor present, Police Department informed P1 that this incident would be treated as a co-parenting dispute. The Sheriff Department was also further contacted to conduct a welfare check at P2's residence. P1 was encouraged to continue working on court paperwork.

During today's visit, 9/8/25, the LPA viewed the facility and an in-depth conversation was had about the incident that took place at the CCC on 8/22/25. During today's visit, 9/8/25, Site Supervisor informed LPA that P1 had an emergency protective order in place restricting P2 from picking up C1 or from being present around C1. While this emergency protective order expired, a criminal protective order is currently in place that doesn't permit P2 to be around P1 or C1. Site Supervisor informed LPA that the child continues to be enrolled at the CCC.

The Site Supervisor was provided a copy of their Appeal Rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. An exit interview was conducted with Facility Representative, Jude Contreras. Facility Representative was provided with a Notice of Site Visit (LIC 9213). The Notice of Site Visit form must be posted for 30 days or a civil penalty of $100 may apply.

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Matthew Sapien
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2025
LIC809 (FAS) - (06/04)
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