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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215884
Report Date: 11/13/2019
Date Signed: 11/13/2019 03:54:38 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:VENTURA NEIGHBORHOOD HEAD START CENTERFACILITY NUMBER:
566215884
ADMINISTRATOR:PATCHETT, PATRICIA AYLARDFACILITY TYPE:
850
ADDRESS:4300 TELEGRAPH ROADTELEPHONE:
(805) 765-6150
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:15CENSUS: 0DATE:
11/13/2019
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Suzanne GodinezTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Michael Avila made an announced visit for the purpose of conducting a Prelicensing visit. Proof of control of property was submitted with the application via a copy of the lease agreement. Applicant applied for a Preschool license for children within an age group of 2-5 years old.

A tour of the entire center was conducted. Indoor and outdoor activity spaces. The facility consist of one classroom. The parent information board with all the required postings is located in the classroom. The center will have a sign in/out book located at the entrance of the room.

Preschool Center: The preschool program will consist of one room which measured out at 25 ft. x 21 ft. which combined measures to approximately 525 sq./ft. One bathroom was observed with two toilets and one sink. The classroom was equipped with age appropriate tables, chairs, cubbies, instructional aids and materials. Total capacity for square footage along with available toilets and sinks allows for 15 children.

The Outdoor Area measures out to approximately 1,300 square feet which is ample amount of space for a capacity of 15 children. LPA observed the yard was equipped with age appropriate toys and equipment. Water will be provided via a portable igloo and disposable cups. Shade is provided via a large awning and or trees.

Fire clearance was approved by the Ventura City Fire Department on 11/04/19.

The License to operate a Child Care Center of 15 preschool age children is effective today November 13, 2019.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019
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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