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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561708173
Report Date: 03/07/2022
Date Signed: 03/07/2022 01:32:25 PM


Document Has Been Signed on 03/07/2022 01:32 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:VENTURA BRANCH - POINSETTIA ELEMENTARYFACILITY NUMBER:
561708173
ADMINISTRATOR:JULIE O'BRIENFACILITY TYPE:
840
ADDRESS:350 N. VICTORIA AVE.TELEPHONE:
(805) 654-0620
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:48CENSUS: 13DATE:
03/07/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Amanda PinedoTIME COMPLETED:
01:45 PM
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On March 7, 2022 at 12:30 PM, Licensing Program Analysts (LPAs) Francisco Pedroza and Rosie Breault conducted an unannounced licensee initiated Case Management inspection. LPAs met with site Supervisor Amanda Pinedo and advised her the purpose of the inspection. Site Supervisor provided LPAs a tour of the facility inside and out. There were 13 children in care at the time of the inspection.

Facility uses two (2) classrooms for children in care. Facility submitted an application for an increase in capacity on August 10, 2021 from 48 to 60 children. The Ventura City Fire Department provided an approved fire clearance on September 14, 2021. LPAs observed and inspected the classrooms. The facility classrooms meet title 22 requirements.

The facility meets capacity increase requirements. The increase from 48 to 60 children is granted.

No deficiencies were cited during today's inspection.

Effective today March 7, 2022, facility capacity increased to 60 children.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 03/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/07/2022
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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