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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215266
Report Date: 09/18/2024
Date Signed: 09/18/2024 10:55:22 AM

Document Has Been Signed on 09/18/2024 10:55 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:COUNTRY COTTAGE PRESCHOOLFACILITY NUMBER:
406215266
ADMINISTRATOR/
DIRECTOR:		BRIANNA MALLORYFACILITY TYPE:
850
ADDRESS:2075 JOHNSON AVENUETELEPHONE:
(805) 235-2153
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY: 62TOTAL ENROLLED CHILDREN: 62CENSUS: 38DATE:
09/18/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:24 AM
MET WITH:Brianna Mallory (Ash)TIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 9/18/24, Licensing Program Analysts (LPAs) Elvin Baddley and Matthew Sapien conducted an unannounced Case Management Legal/Non-Compliance Visit/Inspection of the abovementioned Child Care Center (CCC) to deliver a Decision and Order (CDSS No. 7924158005) in the matter of former employee Haydn T. Sweaney. LPAs met with Director Mallory and explained the nature and purpose of the inspection. LPAs note 38 children are on site along with 8 teachers providing care and supervision.

The Decision and Order was discussed with the Director. The Decision and Order notes CCLD's prohibition of former employee Haydn T. Sweaney from all licensed child care facilities. CCLD records revealed Sweaney began association with the CCC on 5/21/24. Director indicated Sweaney ceased employment with the CCC on 6/14/24. Director is reminded that Sweaney is not to be on site.

The following documentation was provided and explained:

ยท Decision and Order CDSS No. 7924158005

No deficiencies were cited during today's inspection.

A Notice of Site Visit (LIC 9213) was issued and must remain posted for 30 days or a civil penalty of $100 may apply. Appeal Rights (LIC 9058) were given to the Director.

Exit interview was conducted and report was reviewed with Director Brianna Mallory.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE: DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/18/2024
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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