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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215252
Report Date: 09/30/2024
Date Signed: 09/30/2024 02:31:04 PM


Document Has Been Signed on 09/30/2024 02:31 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:VENTURA CHILDREN'S LEARNING CENTERFACILITY NUMBER:
566215252
ADMINISTRATOR:VIKTORIIA SHEVKUNOVAFACILITY TYPE:
850
ADDRESS:1110 PETIT AVE.TELEPHONE:
(805) 672-0300
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY:128CENSUS: 41DATE:
09/30/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Viktoria ShevkunovaTIME COMPLETED:
01:30 PM
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On 09/30/2024 Licensing Program Analysts (LPAs) German Negrete and Sylvia Medoza-Ceja made an unannounced visit for the purpose of completing a Case Management - Incident inspection. Today LPAs met with Center Director Viktoria Shevkunova, LPAs did a walk through of the Child Care Center(CCC) with the Director. LPAs observed at the time of the walk-through 41 children being supervised by 8 staff.

The purpose of the case management inspection was due to a incident that occurred on 01/23/2024. The center reported the incident to the Department as required. C#1 fell and sustained a cut on her eye brow. C#1 was playing outside she was running and she fell during recess time. Director called parents. Parent took C#1 to the hospital and C#1 received 4 stitches.

During the inspection, LPA's reviewed the incident report and discussed with the Director, and conducted staff interviews.

Based on the record review and observations, it was discovered staff followed reporting requirement as outlines by Child Care Regulations, Title 22 and acted accordingly in supporting C#1 during the incident.

Investigation concluded and exit interview conducted with director. Notice of site visit was issued.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 218-0429
LICENSING EVALUATOR NAME: German NegreteTELEPHONE: 805-315-8362
LICENSING EVALUATOR SIGNATURE:
DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/30/2024
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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