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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421711813
Report Date: 04/17/2024
Date Signed: 04/17/2024 03:59:31 PM

Document Has Been Signed on 04/17/2024 03:59 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:SBCEO - DE COLORES STATE PRESCHOOLFACILITY NUMBER:
421711813
ADMINISTRATOR/
DIRECTOR:		JANELLE WILLISFACILITY TYPE:
850
ADDRESS:501 NORTH W STREETTELEPHONE:
(805) 742-2455
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 18DATE:
04/17/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:08 PM
MET WITH:Belinda VajTIME VISIT/
INSPECTION COMPLETED:
04:14 PM
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On April 17, 2024 at 2 PM, Licensing Program Analyst (LPAs) Susana Martinez and Julia Meli conducted an unannounced Case Management- incident follow up inspection. LPA met with site supervisor Belinda Vaj and advised her the purpose of the inspection. Site supervisor provided LPAs a tour of the facility inside and out. There were 18 children in care at the time of the inspection along with 5 staff.

On 3/27/2024, the center contacted Community Care Licensing (CCL) to self-report an incident of a child (C1) bitting a staff member (S1). C1 was chasing another child and S1 advised C1 to stop. C1 did not stop so S1 wrapped their hands around the student to get them to stop. C1 bit S1's right arm and broke skin.

LPAs interviewed S1 and determined the incident was addressed properly.

Given the facility's account of the incident when reporting it to CCL and how they addressed the incident, LPA deemed the facility's action was appropriate. The facility acknowledged they are being transparent and ensuring the safety of the children in their care.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with site supervisor Belinda Vaj.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2024
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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