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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426218025
Report Date: 09/17/2026
Date Signed: 09/17/2026 12:20:08 PM

Document Has Been Signed on 09/17/2026 12:20 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:CONGREGATION B'NAI B'RITHFACILITY NUMBER:
426218025
ADMINISTRATOR/
DIRECTOR:
JENNIFER LEWISFACILITY TYPE:
860
ADDRESS:1000 SAN ANTONIO CREEK ROADTELEPHONE:
(805) 967-6619
CITY:SANTA BARBARASTATE: CAZIP CODE:
93111
CAPACITY: 68TOTAL ENROLLED CHILDREN: 68CENSUS: 48DATE:
09/17/2026
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Jen LewisTIME VISIT/
INSPECTION COMPLETED:
12:25 PM
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On 09/17/2026 Licensing Program Analyst (LPA) Maryrose Breault conducted an announced prelicensing inspection at the above-mentioned facility. A change of components served application for existing facility number #421702487 was received resulting in the conversion of a singe license. Facility requesting 8 infants (9 months to 24 months), 24 toddlers (18 months to 36 months) and 36 preschoolers (2.6 years through 5 years) for a total facility capacity of 68. Facility operates Monday through Friday 8:30am to 5:00pm and is on the grounds of Congregation B’nai B’rith Synagogue. At the time of the inspection, there were 48 children present.

LPA met with director Jen Lewis and together toured and measured the on-limits areas and classrooms located at the facility. LPA observed regulation postings present and parents / authorized representatives will utilize Brightwheel for purposes of signing in and out. LPA reminded licensee the person who signs the child in/out shall use his/her full legal signature and shall record the time of day. Facility is equipped with a room to isolate and care for any child who becomes ill during the day, with space for cot/mat, separate toilet, and sink, affords easy supervision, and not located in or near food or general toilet area. Facility maintains a total of 2- sinks and 6 toilets available for children. There shall be one potty chair for every 5 infants being toilet trained. Per director, parents provide children’s lunch and facility provides AM/PM snack. Drinking water is available in the classrooms and via filtration system. The kitchen area and food storage areas were observed to be free of rodents and/or pests.

Belinda Devall
Maryrose Breault
DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CONGREGATION B'NAI B'RITH
FACILITY NUMBER: 426218025
VISIT DATE: 09/17/2026
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Infants will utilize room #1 (next to office). LPA observed the classroom to have ample ventilation, storage for personal items, and variety of age-appropriate toys that afford the children tactile stimulation and manipulative skills. At the time of the inspection, LPA did not observe sharp edges, splinters, or points, nor toys made of small parts that can present a choking hazard. Infant room flooring has a clean surface and rugs for comfort and to absorb falls. Changing tables have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink, not near meal preparation or dishwashing. LPA observed refrigeration to store infant food/milk and LPA advised bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date. Crib area is separated from activity space via transparent gate. This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. Infant’s Sleep Logs and Needs and Services Plans will be kept near the infant’s cubbies and LPA reminded director must always adhere to Safe Sleep regulations.

Toddlers will utilize rooms #2 and 3. LPA observed a variety of toys, activities and area for quiet play. Tables and chairs were observed to meet the needs of the children. Toys, activities and materials used by children were observed to be age appropriate, and personal cubby space is available to children. Children rest on combination cots/ and mates and LPA observed sufficient quantity.

Preschoolers will utilize rooms #4, 5, 6. At the time of the inspection, floors and surfaces were appropriate and clean. LPA observed ample tables and chairs, play equipment and materials to be age appropriate, personal storage space (cubbies) and access to water. Children will rest on combination cots/mats.


LPA observed disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children stored locked and elevated in restrooms - inaccessible to children. LPA observed first aid kits, carbon monoxide detector tested and functioning, and fire extinguisher last serviced on 3/16/2026.

Santa Barbara County Fire Department cleared facility on 07/09/2026
NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Maryrose Breault
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CONGREGATION B'NAI B'RITH
FACILITY NUMBER: 426218025
VISIT DATE: 09/17/2026
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LPA observed 5 outdoor play areas: 1 infant area directly outside their classroom, 1 toddler area (front of facility), 1 large preschool area next to toddler yard and 2 additional preschool areas outside their classrooms. Facility is surrounded by enclosed fencing at least 4 feet in height to keep children in the outdoor play area in addition, outdoor areas are separated by fencing to prevent commingling of age groups. LPA observed infant yard to have ample shade and soft padding, covered sandbox and access to water. Individual preschool and toddler play areas provide ample shade, age-appropriate toys and equipment and one large structure, soft padding to absorb falls and sandbox free of debris. Play structure guidelines were previously submitted and approved by the Dept. in 2025. Shade is provided via patios, trees and sun sails. Drinking water is available via children’s water bottles.
Per director, no bodies of water are present on property and LPA did not view any.

Infant Measurements:
Total infant indoor space measures 323.92 sq. ft. which will accommodate applicants’ request for 8 infants.
Total infant outdoor space measures 601.87 sq. ft. which will accommodate applicants’ request for 8 infants.

Toddler Measurements:
Total toddler indoor space measures 871.19 sq. ft. which will accommodate applicant’s request for 24 toddlers.
Total toddler outdoor space measures 5379.52 sq. ft. which will accommodate applicants’ request for 24 toddlers.

Preschool Measurements:
Total preschool indoor space measures 1306.79 sq. ft. which will accommodate applicants’ request for 36 preschoolers.
Total preschool outdoor space measures 6043.44 sq. ft. which will accommodate applicants’ request for 36 preschoolers.
NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Maryrose Breault
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026
LIC809 (FAS) - (06/04)
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