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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215335
Report Date: 07/24/2019
Date Signed: 07/24/2019 11:57:32 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:FUSD - SESPE PRE SCHOOLFACILITY NUMBER:
566215335
ADMINISTRATOR:HOLLY HARVANFACILITY TYPE:
850
ADDRESS:627 SESPE AVETELEPHONE:
(805) 524-8202
CITY:FILLMORESTATE: CAZIP CODE:
93015
CAPACITY:24CENSUS: DATE:
07/24/2019
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Holly HarvanTIME COMPLETED:
11:00 AM
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Licensing Program Analyst, (LPA) conducted a visit to this facility per Licensee's request for the purpose of inspecting a new preschool room. LPA met with Child Development Program Director,Holly Harvan. A tour of the facility was conducted.

The additional classroom (Room 27) area measured out 945 square feetwhich would accommodate a capacity of 24 additional children.

There are two restrooms located in the classroom with 2 sinks and 2 toilets. There is a changing table next to a sink.

The existing play yard will be used for the classrooms. The school yard has ample space for the requested capacity.

A Fire inspection was conducted by the Fillmore Fire Department which issued a report approving the classroom on 7/2/19.

The center will operate on the Fillmore School District calendar with a morning session from 8:00 AM to 11:00 PM and an afternoon session from 12:00 PM to 3:00 PM. Breakfast will be served in the morning session and lunch for the afternoon session.

The classroom is licensed effective today.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019
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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