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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426209595
Report Date: 08/23/2022
Date Signed: 08/23/2022 12:09:50 PM


Document Has Been Signed on 08/23/2022 12:09 PM - It Cannot Be Edited

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:ELLWOOD SCHOOLFACILITY NUMBER:
426209595
ADMINISTRATOR:KIM BRUZZESEFACILITY TYPE:
850
ADDRESS:7686 HOLLISTER AVE.TELEPHONE:
(805) 571-3774
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY:24CENSUS: 0DATE:
08/23/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:38 AM
MET WITH:Kim BruzzeseTIME COMPLETED:
12:25 PM
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On August 23, 2022 at 11:38 AM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Case Management inspection. LPA met with Director of Instructional Services Kim Bruzzese and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were no children in care at the time of the inspection.

The facility submitted an application for an increase in capacity from 24 to 48 children on August 3, 2022 to Community Care Licensing (CCL). CCL submitted a fire clearance request to Santa Barbara County Fire Department (SBCFD) on August 3, 2022. On August 19, 2022 SBCFD granted the facility an approved fire clearance for a capacity for 48 children. The facility will be using classrooms number 13 and 15 for children in care. The facility has enough restrooms for the capacity of children requested.

The center meets Title 22 Division 12 requirements.

Effective today, August 23, 2022 facility is approved for a capacity of 48 children.


THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2022
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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