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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 401701939
Report Date: 08/16/2022
Date Signed: 08/16/2022 02:15:21 PM


Document Has Been Signed on 08/16/2022 02:15 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:PEACE CHRISTIAN PRESCHOOLFACILITY NUMBER:
401701939
ADMINISTRATOR:DORIS ANGELFACILITY TYPE:
850
ADDRESS:244 OAK PARK BLVDTELEPHONE:
(805) 489-9644
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY:92CENSUS: 32DATE:
08/16/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Doris AngelTIME COMPLETED:
02:30 PM
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On 8/16/22, at 1:00 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Case Management Inspection of the abovementioned Child Care Center (CCC) to assess a request for a Toddler component/option to be added to the CCC's Preschool license. LPA met with Doris Angel, Director of the CCC, and explained the nature and purpose of the inspection. LPA notes 32 children are on site along with 10 teachers providing are and supervision.

LPA toured the classroom which was proposed for the CCC's Toddler component/option as well as the outdoor play area. LPA discussed the Toddler component/option with the Director as well as some the of alterations which need to be made to the physical plant (i.e. separate play classroom, play area) to support a Toddler component/option. The Director retracted the request for a Toddler component/option at this time noting a couple of modifications needed to be made to support the Toddler component/option on site.

LPA informed Director department literature will be forward outline the requirements for a toddler component/option.

No deficiencies were cited during today's inspection and LPA forwarded a Notice of Site Visit which is to be posted as required by H&S Code Section.1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty $100.00 may apply.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2022
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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