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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421710426
Report Date: 02/28/2025
Date Signed: 02/28/2025 11:10:49 AM

Document Has Been Signed on 02/28/2025 11:10 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:CLIFF DRIVE CARE CENTERFACILITY NUMBER:
421710426
ADMINISTRATOR/
DIRECTOR:
YZNAGA, JENNYFACILITY TYPE:
840
ADDRESS:1435 CLIFF DRIVETELEPHONE:
(805) 965-4286
CITY:SANTA BARBARASTATE: CAZIP CODE:
93109
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 0DATE:
02/28/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Delanie SabocTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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 February 28, 2025 Licensing Program Analysts (LPAs) Elizabeth George and Bill Billones conducted an unannounced Case Management Incident Inspection. LPAs met with Director, Delanie Saboc, and discussed the purpose of the inspection, which was to follow up on an incident reported to the Department on 2/18/25. LPAs along with Director toured the facility inside and outside. During the inspection there were 0 children in care, as this is an after school program.

Summary of UIR states that the children were playing musical chairs and the child pulled the chair and shoved it back into the ground. The chair hit the child in the forehead, and it split his head. When the chair went down the leg went up.



Director enacted the incident for LPAs. Children were sitting at tables with chairs when child stood behind the chair and pushed the chair forward. Chair flew forward and the legs of the chair came up into the air hitting the child in the forehead. Additional staff were called in to assist with ratio. Director determined medical care was required and immediately called parent to pick up. Child received 8 stitches on the forehead and returned to school the following day. Child needed no additional medical attention for the injury. Center reported the incident within 24 hours by telephone and sent in the LIC624 along with medical note within the required 7 days.

Based on the information gathered during the inspection, LPAs determined Cliff Drive Center took appropriate action to meet the needs of children in care.

No deficiencies were cited as a result of the incident.

A Notice of Site Visit was given, exit interview conducted and report was reviewed with Director, Delanie Saboc.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2025
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 1