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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215596
Report Date: 05/09/2019
Date Signed: 05/09/2019 01:38:25 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:CAMARILLO PROGRESSIVE MONTESSORI PRESCHOOLFACILITY NUMBER:
566215596
ADMINISTRATOR:BRANDY KRISTEN PICARDFACILITY TYPE:
850
ADDRESS:4646 ADOLFOTELEPHONE:
(805) 484-1460
CITY:CAMARILLOSTATE: CAZIP CODE:
93012
CAPACITY:30CENSUS: 25DATE:
05/09/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Robin BalesTIME COMPLETED:
01:45 PM
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Licensing Program Analysts (LPA) Francisco Pedroza and Jill Laxo made an announced Case Management inspection and met with Robin Bales, Director. The center pre-licensing inspection was previously conducted on 08/24/2018.

Applicant applied to have a capacity of 70 children and was approved by the fire department for 70. However, the facility was only approved for 30 preschool children. The facility only had two toilets and sinks available at the time. The applicant had a third toilet and sink installed available for the children, therefore the facility has been approved for the capacity of 45 children.

Applicant states in the future an additional toilet may be installed to increase their capacity to meet 60. Applicant additionally states they are interested in adding the toddler option to their license as well in the future.

Today, the center meets Title 22 Division 12 requirements for a preschool center for 45 children.

License will be effective today May 9, 2019.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019
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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