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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406211108
Report Date: 02/19/2020
Date Signed: 02/19/2020 11:12:55 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:ATASCADERO CHILDREN'S CENTERFACILITY NUMBER:
406211108
ADMINISTRATOR:HARVEST TORREYFACILITY TYPE:
850
ADDRESS:11850 VIEJO CAMINO BDGS. B & CTELEPHONE:
(805) 461-9195
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY:99CENSUS: 54DATE:
02/19/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Harvest ToreyTIME COMPLETED:
11:00 AM
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Licensing Program Analysts (LPA) Gigi Reyes made an unannounced visit to conduct a Case Management Inspection. LPA met with Director, Harvest Torey and explained the purpose of the inspection. There were 48 preschoolers, 6 toddlers and 12 teachers present during the inspection

LPA interview with Director revealed that sometime in late fall of 2018, Casi Ravalin applied for a teaching position at the School Age Program (406211109). Ms. Ravalin's employment was pending subject to Criminal Record Clearance. Moreover, Director stated that Ms. Ravalin was never employed by Atascadero Children's Center.

Based on the evidence obtained during today’s visit, LPA verified Casi Ravalin is not present and was never employed in the facility. LPA advised the Director to disassociate the individual from their roster. Director submitted during the inspection an LIS Facility Personnel Report Summary disassociating Casi Ravalin and an updated LIC 500 Personnel Report.

No deficiency was cited during today's visit

The "Notice of Site Visit" was observed posted.

FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
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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