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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216162
Report Date: 03/13/2023
Date Signed: 03/13/2023 03:21:01 PM

Document Has Been Signed on 03/13/2023 03:21 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:MARIE BAUER EARLY EDUCATION CENTERFACILITY NUMBER:
406216162
ADMINISTRATOR:LAUREN HANDLEYFACILITY TYPE:
850
ADDRESS:1626 VINE ST.TELEPHONE:
(805) 769-1000
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY: 215TOTAL ENROLLED CHILDREN: 215CENSUS: 36DATE:
03/13/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:46 AM
MET WITH:Carol StonerTIME COMPLETED:
12:00 PM
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On 3/13/23, at 10:46 AM, Licensing Program Analyst (LPA) Elvin Baddley made an unannounced inspection to follow up on an Unusual Incident Report (UIR) received by the Department on 3/2/23, concerning a CPS report being generated after C1 reported C1's bottom area hurt and blood and feces was observed in C1's buttocks and underwear. LPA met Carol Stoner, Interim Principal of the Child Care Center (CCC). LPA toured the interior and exterior of the CCC and notes 36 children are present along with 7 teachers providing care and supervision.

LPA explained the nature of the visit and the UIR was discussed. Interim Principal informed LPA C1 has returned to the CCC and has no lasted or prolong effects related to the incidents. Interim Principal notes C1 appears to be in good health. To date the CCC has received no investigation results/findings from CPS.

No deficiencies are cited during today's visit and a Notice of Site Visit form was provided to Interim Principal. Interim Principal was informed to ensure Notice of Site Visit is posted at facility for 30 days or a civil penalty of $100 may be issued.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2023
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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