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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 401711246
Report Date: 04/24/2019
Date Signed: 04/24/2019 05:36:38 PM

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:CHILD'S SMILE PRESCHOOLFACILITY NUMBER:
401711246
ADMINISTRATOR:SHIRLEY ALBRECHTFACILITY TYPE:
850
ADDRESS:781 PAUL PLACETELEPHONE:
(805) 481-4814
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY:28CENSUS: 19DATE:
04/24/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Laura Viger, DirectorTIME COMPLETED:
02:50 PM
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Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Case Management Inspection to follow up on the incident that was self reported by center on March 12, 2019. LPA met with Director Ms. Laura Viger. There were 19 children, 3 teachers and Licensee, Ms. Shirley Albrecht were present during the inspection.

LPA's interview with Staff 1 revealed that Child 1 and Child 2 were sitting next to each other when Child 1 screamed. Staff 1 who was standing up by the table next to where the 2 children where sitting turned around and saw that Child 1 was crying. Staff 1 said she did not see the actual biting because she was helping another child opened a food container. Staff 2 saw that Child 2's face was wet but did not sustain any cut or broken skin. Cold compress was applied to Child 1's face. An ouch report was prepared for the parent's information. The staff immediately separated the two children. Staff talked to both children, Child 2 stated Child 2 was tired and Child 1 was bothering Child 2, which made Child 2 bit Child 1. Child 2 apologized for biting Child 1.

No deficiencies were cited.

LPA observed licensee posted the Notice of Site Visit.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2019
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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