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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566208209
Report Date: 02/16/2021
Date Signed: 02/16/2021 05:06:37 PM

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:GRACE BRETHREN PRESCHOOL EASTFACILITY NUMBER:
566208209
ADMINISTRATOR:JULIA CHANDLERFACILITY TYPE:
850
ADDRESS:2762 AVENIDA SIMITELEPHONE:
(805) 582-4270
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY:136CENSUS: 63DATE:
02/16/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:27 PM
MET WITH:Julia ChandlerTIME COMPLETED:
03:30 PM
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On February 16, 2021, at 1:30 pm Licensing Program Analyst (LPA) Francisco Pedroza conducted an announced tele-inspection for the purpose of completing a case management inspection. Due COVID -19 and Department of Public Health guidelines of social distancing a Tele - Inspection was conducted via Zoom. LPA met with facility Director Julia Chandler and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 63 children in care at the time of the inspection.

On November 06. 2020, Community Care Licensing (CCL) received an application request to add five more rooms in the facility. On January 29, 2021, the facility received an approved fire clearance from the Ventura County Fire Department. Due to Covid-19 guidelines, the facility required additional space to ensure social distancing. LPA observed age appropriate furniture and equipment available to children.

The center's five new rooms has a total of 8,002.50 square feet available for children in care to use.

The center meets Title 22 Division 12 requirements.

The added five classrooms will be effective today, February 16, 2021.

An exit interview was conducted with Director Chandler. A copy of this report was reviewed and provided to Director who agree to receive a copy of the report via email and voiced understanding that the read receipt confirmation from email will be in lieu of her signature once she received the report. LPA requested Director provide a signed copy of the report so it can be placed in the facility file.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2021
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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