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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421700073
Report Date: 01/17/2024
Date Signed: 01/17/2024 01:41:19 PM

Document Has Been Signed on 01/17/2024 01:41 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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CLIFF DRIVE CARE CENTERFACILITY NUMBER:
421700073
ADMINISTRATOR:YZNAGA, JENNYFACILITY TYPE:
850
ADDRESS:1435 CLIFF DR.TELEPHONE:
(805) 965-4286
CITY:SANTA BARBARASTATE: CAZIP CODE:
93109
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 50DATE:
01/17/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:11 PM
MET WITH:Delanie Sabac TIME COMPLETED:
01:45 PM
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On January 17, 2024 Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced Case Management - Incident inspection at the abovementioned Child Care Center (CCC). LPA met with Director Delanie Sabac and informed them the purpose of the inspection. At the time of the inspection there were 50 children present.

On 01/05/2024 the CCC self reported an incident where C1 fell in the garden on artificial grass that resulted in an cut on their head about 1 inch in length. At the time of the incident S1 and S2 were caring for 8 children.

Interview with Director revealed that the child needed to get to staples due to the cut. Director stated that the parent was satisfied with the way that the center handled theincident. Interview with S2 revealed that they had visual supervision of where C1 was playing when they fell. S1 stated they were walking by when they heard the child fall however they did not see it happen. LPA observed that the area where the incident occurred and did not see any hazards. Since the incident C1 has returned to the CCC to their regular schedule. Based on the information gathered the incident did not occur due to lack of supervision.

No deficiency is being cited as a result of this incident. CCC followed proper protocol in applying first aide, notifying parents and reporting to licensing.

Exit interview was conducted and report was reviewed with Director Delanie Sabac. Notice of Site Visit was given.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2024
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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