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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215763
Report Date: 08/01/2019
Date Signed: 08/01/2019 10:15:55 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:LOMPOC VALLEY CHILDREN'S CENTER LAB SCHOOLFACILITY NUMBER:
426215763
ADMINISTRATOR:M. RAMOS & Y. FRAZIERFACILITY TYPE:
850
ADDRESS:ONE HANCOCK DRIVE, BLDG.2-122TELEPHONE:
(805) 735-3366
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:28CENSUS: 0DATE:
08/01/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Yvonne Frazier`TIME COMPLETED:
10:25 AM
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A follow up prelicensing inspection was conducted by LPA S. Mendoza-Ceja who met with the Project Director Yvonne Frazier and Program Director Maria Suarez. The center was toured inside and outside. LPA observed two potty chairs available for the toddlers. The temporary fence was observed to be in place; however, LPA observed some gaps in the fence which need to be corrected.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Prior to licensure the following will need to be completed:


1. The gaps in the fence need to be secured and organize the playground for young children.
2. An approved Fire Clearance received by the Department.

The "Notice of Site Visit was posted" at the visit.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019
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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