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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406211108
Report Date: 06/29/2020
Date Signed: 06/30/2020 05:30:24 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: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: 35DATE:
06/29/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Harvest TorreyTIME COMPLETED:
12:30 PM
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On 6/29/2020 at 12:00 PM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Case Management - Legal Inspection. Due to COVID-19 and Department of Public Health guidelines of social distancing, this inspection was conducted with Director Harvest Torrey via Facetime. There were 5 toddlers, 30 pre schoolers, 5 teachers and 2 directors present.

The purpose of the inspection was to deliver the Accusation; - Criminal Record Exemption Denial and Exclusion of an individual, Casi Ravalin CDSS No. 7920016006, CDSS No. 7920016006B, CDSS No. 7920016006C

The said document was explained and copy was provided to the Director.

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

LPA confirmed and verified Casi Ravalin is not present and was never employed in the facility. Director submitted an LIS Facility Personnel Report Summary disassociating Casi Ravalin.

No deficiency was cited during today's inspection. Notice of Site Visit was issued
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2020
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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