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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216353
Report Date: 09/26/2024
Date Signed: 09/26/2024 01:57:44 PM

Document Has Been Signed on 09/26/2024 01:57 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:SEEDS EARLY LEARNING MONTESSORIFACILITY NUMBER:
566216353
ADMINISTRATOR/
DIRECTOR:		BRANDY POHLFACILITY TYPE:
850
ADDRESS:1239 E. MAIN STREETTELEPHONE:
(805) 648-1437
CITY:VENTURASTATE: CAZIP CODE:
93001
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 13DATE:
09/26/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Brandy Pohl and Paula HendersonTIME VISIT/
INSPECTION COMPLETED:
02:10 PM
NARRATIVE
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A Case Management Inspection was conducted by LPAs S. Mendoza-Ceja and G. Negrete who met with Brandy Pohl and Paula Henderson. The purpose of today's inspection was to inspect the center due to the alterations to the facility/removal of walls in classroom #1. It was determined, the facility failed to submit an updated Application (LIC200) along with the Facility Sketch (LIC999) to the Department advising the Department of the alterations in order to obtain an updated Fire Clearance STD 850 reflecting the alterations to the facility.

The following Type A violations are cited according to CCR, Title 22, Division 12 in regards to Alterations to Existing Buildings or New Facilities and for Fire Clearance.

An exit interview was conducted, and a Plan of Correction was reviewed and developed with the Brandy Pohl and Paula Henderson. LPAs provided a copy of their Appeal Rights (LIC 9058) and Notice of Site Visit form (LIC 9213). Notice of Site visit must remain posted for 30 days.

Licensee/Director shall obtain signatures on the LIC9224 of parents/legal guardians of current/or newly enrolled children in the program for 12-months.



Exit interview conducted and report was reviewed with the Licensees/Directors.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Sylvia Ceja
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
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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Document Has Been Signed on 09/26/2024 01:57 PM - It Cannot Be Edited


Created By: Sylvia Ceja On 09/26/2024 at 12:38 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: SEEDS EARLY LEARNING MONTESSORI
FACILITY NUMBER: 566216353

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/26/2024
Section Cited
CCR
101237(a)

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Alterations to Existing Buildings or New Facilities: Prior to construction or alterations, the licensee shall notify the Department of the proposed change(s).

This requirement is not met as evidenced by:
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The Application LIC200 along with an updated facility sketch was completed at the visit. In the future, If we make any changes we will submit an updated LIC200 and sketch for review.
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Based on observation, interviews with Brandy Pohl and Paula Henderson and record review, the licensees/Directors did not comply with the section cited above. Licensees/Directors failed to notify the Department and submit the documentation of the changes prior to operating which poses a potential health safety risk to children in care which poses a potential health safety risk to children in care.
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Type A
09/26/2024
Section Cited
CCR101171(a)

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Fire Clearance: All child care centers shall secure and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal.
This requirement is not met as evidenced by:
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Licensees/Directors to notify the Department of the plan of correction by the end of the day.
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Based on observation, interviews with Brandy Pohl and Paula Henderson and record review, the licensees/Directors did not comply with the section cited above. The center does not have updated Fire Clearance STD 850 reflecting the alterations to the facility which poses a potential health safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Sylvia Ceja
LICENSING EVALUATOR SIGNATURE:
DATE: 09/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/26/2024


LIC809 (FAS) - (06/04)
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