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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566213915
Report Date: 12/06/2019
Date Signed: 12/06/2019 10:48:52 AM

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:LITTLE SCHOLARS MONTESSORIFACILITY NUMBER:
566213915
ADMINISTRATOR:SARANGI WETHTHASINGHAFACILITY TYPE:
830
ADDRESS:5020 ALAMO ST.TELEPHONE:
(805) 306-8044
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:24CENSUS: 85DATE:
12/06/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Michelle Aranda TIME COMPLETED:
10:45 AM
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Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Case Management inspection. LPA met with Directors Michelle Aranda and Lorraine Rojas and advised the purpose of the inspection. LPA and Directors together toured the facility inside and out. There was 85 children in care at the time of the inspection.

On 11/05/2019, it was logged that the facility contacted Community Care Licensing (CCL) to self report an incident of a child sustaining an injury while in care. The incident occurred on 10/28/2019 at or around 12:02 PM, a child tripped falling into a table during lunch. After talking with Directors, it was identified that the incident did not occur at the facility. Directors advised that the child and teacher identified in the incident report are not associated with their facility. The facility inspection was then concluded.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2019
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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