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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566212585
Report Date: 03/11/2021
Date Signed: 03/11/2021 01:37:11 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:TIERRA VISTA SCHOOLFACILITY NUMBER:
566212585
ADMINISTRATOR:DENISE ADAMSFACILITY TYPE:
850
ADDRESS:2001 SANFORD ST.TELEPHONE:
(805) 488-4454
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:24CENSUS: 0DATE:
03/11/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Sylvia ContrerasTIME COMPLETED:
01:30 PM
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On March 11, 2021 at 1:00 PM, Licensing Program Analyst (LPA) Christian Patterson conducted an unannounced Case Management inspection. Due to the COVID - 19 and Department of Public Health guidelines of social distancing, a tele-inspection was conducted via Facetime. LPA met with Director Sylvia Contreras and discussed the nature and purpose of the inspection. During this tele-inspection the Director took LPA on a tour of the facility. Facility had 0 children in care at the time of the inspection.

Facility submitted application to the Community Care Licensing requesting to add an overflow room to their license due to COVID-19 to allow for social distancing. On November 11, 2020, Oxnard County Fire Department inspector conducted a fire inspection. The facility received a fire clearance approval for the additional classroom. The facility plans to use the classroom for no more than 8 children at a time. The classroom meets and exceeds the measurement requirements for a maximum of 8 children.

Facility additional room use is effective today, March 11, 2021 for a capacity of 8 children.

A copy of this report was reviewed and provided to Director Sylvia Contreras. Director agreed to receive a copy of report via email. LPA requested Director to email a copy of signed documents for records.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2021
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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