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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566210154
Report Date: 08/17/2023
Date Signed: 08/17/2023 11:23:45 AM


Document Has Been Signed on 08/17/2023 11:23 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:PROMISELAND PRESCHOOL CAMARILLOFACILITY NUMBER:
566210154
ADMINISTRATOR:TERRI BEAUMONTFACILITY TYPE:
850
ADDRESS:380 MOBIL AVE.TELEPHONE:
(805) 482-5250
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY:60CENSUS: 15DATE:
08/17/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:01 AM
MET WITH:Terri BaumountTIME COMPLETED:
11:00 AM
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On August 17, 2023 Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced Case Management- Licensee Initiated inspection. LPA met with director Terri Baumount and advised her of the purpose for the inspection. Together with the site director, LPA toured the facility inside and outside. No bodies of water were observed at the time of inspection. There were 15 children present at the time of inspection.

The center submitted a waiver request to allow preschool children to use a school-age classroom for half a day. The room requested to be used is #207 which is located on the second floor of the facility.

A fire clearance was granted by the Ventura County Fire Department on 6/21/2023.

LPA toured the room and observed age-appropriate toys and furnishings. No hazardous items were observed at the time of inspection. There are 3 toilets and 1 sink readily available to children in care.

The waiver request was granted with the following requirements:

- The Center will strictly use the school-age classroom for preschoolers Monday-Friday from 9 am- 12 pm only.

- The school-age classroom shall be furnished with age-appropriate toys and fixtures readily available for preschoolers in care.

- The classroom capacity shall not exceed 15 children at any time.

- There shall be no commingling at any time between preschool and school-age children.

- Any changes in the existing condition must be reported to the licensing agency immediately at (805) 562-0400

Continued on 809-C

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:
DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: PROMISELAND PRESCHOOL CAMARILLO
FACILITY NUMBER: 566210154
VISIT DATE: 08/17/2023
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If the conditions established for this waiver are not followed, the waiver will no longer be valid. A copy of the waiver must be available for review at the facility.

Effective today, 8/17/2023, Room#207 may be used for preschool children.

Notice of site visit was provided.

Exit interview and report reviewed with site administrator Terri Baumount.

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023
LIC809 (FAS) - (06/04)
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