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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406212578
Report Date: 12/22/2021
Date Signed: 12/22/2021 05:20:56 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:NORTH COUNTY CHRISTIAN SCHOOL - PRESCHOOLFACILITY NUMBER:
406212578
ADMINISTRATOR:DINA DALEFACILITY TYPE:
850
ADDRESS:6225 ATASCADERO MALLTELEPHONE:
(805) 602-6648
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY:30CENSUS: 10DATE:
12/22/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Dina DaleTIME COMPLETED:
02:30 PM
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On 12/22/2021 at 1:31 PM, Licensing Program Analysts (LPAs) Gigi Reyes conducted a Plan of Correction Inspection and met with Director Dina Dale. Prior to inspection, LPA asked pre screening questions related to COVID-19. Director's responses indicate there was no COVID -19 exposure on site. LPA discussed the purpose of the inspection. There were 10 day care children and 4 staff present during the inspection.

On 12/15/2021, Center was cited for Teacher-Child Ratio 101216.3 (a).

During today's inspection, the above deficiency was cleared. Licensee is in compliance of California Code of Regulations Title 22 Division 12 and Health and Safety Code.

A notice of site visit was given and must remain posted for 30 days.


Exit interview conducted and report was reviewed with the Director, Dina Dale.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021
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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