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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300213
Report Date: 03/22/2022
Date Signed: 03/22/2022 10:29:11 AM


Document Has Been Signed on 03/22/2022 10:29 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:BUDS AND BLOSSOMS PRESCHOOLFACILITY NUMBER:
376300213
ADMINISTRATOR:NIKKI BOLESFACILITY TYPE:
850
ADDRESS:2809 S MISSION RDTELEPHONE:
(541) 801-8853
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY:30CENSUS: 30DATE:
03/22/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:NIkki Boles-OwnerTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA), Andrea Taylor, toured Preschool Center with Toddler option (18-36 months), inside and out. The days and hours of operation will be: Monday - Friday 6 am to 6 pm. Fire Clearance has not been received as of today’s inspection. LPA Taylor toured the facility inside and outside.

Today’s inspection is due to Licensee, Nikki Boles, submitting a request for increasing the capacity of the preschool from 20 preschool children to 27 preschool children and the toddler option capacity to stay at 15 children.

The previous limitation for capacity was a toilet and a sink. The Licensee has added a

another sink and toilet allowing for an increase in capacity.

LPA Taylor verified restroom is safe, clean and in working order.

An increase will be approved upon the Department receiving a fire clearance approval for a capacity of 42 children.

An exit interview was conducted. Appeal rights were explained to Nikki Boles.

A notice of site visit was posted and must remain posted for 30 days.

SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Andrea TaylorTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 03/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/22/2022
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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