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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561702446
Report Date: 03/07/2024
Date Signed: 03/07/2024 11:36:12 AM


Document Has Been Signed on 03/07/2024 11:36 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:NOAH'S ARK CHRISTIAN PRESCHOOL & CHILD CARE CENTEFACILITY NUMBER:
561702446
ADMINISTRATOR:MONICA HAYESFACILITY TYPE:
850
ADDRESS:120 CHURCH ROADTELEPHONE:
8056468745
CITY:OJAISTATE: CAZIP CODE:
93023
CAPACITY:84CENSUS: 49DATE:
03/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Monica HayesTIME COMPLETED:
11:55 AM
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On March 7, 2024 at 9:55AM, Licensing Program Analysts (LPAs) German Negrete and Sylvia Ceja conducted an unannounced inspection in regards to the incident pertaining to personal rights LPAs met with Director Monica Hayes and advised her of the purpose of the inspection. Director provided LPAs a tour of the facility inside and out. At the time of the inspection there were 49 children in care and 5 staff, and the Director and Office Manager.

LPA requested and received copies of the facility roster with children/parent contact information,and staff roster with contact information. LPAs also reviewed staff records. Director was advised the incident needs further investigation and Director will be contacted by an IB Investigator soon.

Report was reviewed with the Director and a copy provided.

Exit interview was conducted, report reviewed, and copy was provided to Center Director Monica Hayes. Notice of site visit was given.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 218-0429
LICENSING EVALUATOR NAME: German NegreteTELEPHONE: 805-315-8362
LICENSING EVALUATOR SIGNATURE:
DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/07/2024
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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