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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 401712378
Report Date: 05/27/2021
Date Signed: 05/27/2021 11:05:25 AM

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:LAUGH & LEARN PRESCHOOLFACILITY NUMBER:
401712378
ADMINISTRATOR:JULIE SOTOFACILITY TYPE:
850
ADDRESS:1315 VINEYARD DRIVETELEPHONE:
(805) 434-2223
CITY:TEMPLETONSTATE: CAZIP CODE:
93465
CAPACITY:35CENSUS: 24DATE:
05/27/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Julie SotoTIME COMPLETED:
11:05 AM
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On 5/27/21 at 10:05am, Licensing Program Analyst (LPA) Melissa Stewart arrived to interview a child (C1) in regard to and incident which occurred at another licensed facility. LPA conducted a Pre-screening with Director, Julie Soto, who indicated that there had not been any COVID-19 exposure reported at the center within the past 14 days. LPA entered the center wearing a surgical mask. LPA explained the purpose of the visit, confirmed that the phone number of record was current and Director provided LPA with an alternate cell number and an email address. Child (C1) was interviewed in the indoor activity area near the front entry.

LPA reviewed this report with Director, Julie Soto at 11:00am. Director reported that the current census at the center was 24 children and two (2) staff. A copy of this report and appeal rights were discussed and left with Julie Soto, whose signature on this form confirm receipt of these documents.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021
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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