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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215639
Report Date: 06/04/2019
Date Signed: 06/04/2019 03:09:54 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:BRIGHT STARS ACADEMYFACILITY NUMBER:
566215639
ADMINISTRATOR:SAANIYA KWATRA SEKHRIFACILITY TYPE:
850
ADDRESS:1777 STATHAM BLVDTELEPHONE:
(805) 487-0759
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:82CENSUS: 52DATE:
06/04/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Catalina FloresTIME COMPLETED:
03:15 PM
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LPA Avila made an unannounced visit for the purpose of conducting a Case Management visit. LPA Avila met with Director Catalina Flores and discussed the nature and purpose of the visit. LPA Avila contacted and interviewed parents and met with Licensee regarding amending a facility report issued on 4/23/2019.

No deficiencies were issued during this facility inspection.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019
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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