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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215064
Report Date: 08/11/2022
Date Signed: 08/11/2022 03:31:15 PM


Document Has Been Signed on 08/11/2022 03:31 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:SBCEO - YOUNG LEARNERS PRESCHOOLFACILITY NUMBER:
426215064
ADMINISTRATOR:JANELLE WILLISFACILITY TYPE:
850
ADDRESS:621 WEST NORTH AVE., ROOM 37TELEPHONE:
(805) 742-2229
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:25CENSUS: 0DATE:
08/11/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Artesia CarlonTIME COMPLETED:
03:45 PM
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On August 11, 2022 at 3:05 PM, Licensing Program Analyst (LPA) Frank Pedroza conducted an announced Case Management inspection. LPA met with Program Coordinator Artesia Carlon and advised her the purpose of the inspection. Coordinator provided LPA a tour of the facility inside and out. There was no children in care at the time of the inspection.

On July 25, 2022, Community Care Licensing (CCL) received an application for an increase in capacity. A fire clearance request was submitted to Lompoc Fire Department (LFD) on July 25, 2022. On August 5, 2022 the facility was inspected by LFD and received an approved fire clearance for 48 children.

The center meets Title 22 Division 12 requirements.

Effective today, August 11, 2022 facility is approved for a capacity of 48 children.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2022
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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