566216130-12-10-2021-17-CC-FPEA-C9KSTQ-20211210130956

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566216130
Report Date: 12/10/2021
Date Signed: 12/10/2021 01:10:03 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:	CHILDREN'S COURTYARD, THE		FACILITY NUMBER:	566216130
ADMINISTRATOR:	KATHERINE STEVENS		FACILITY TYPE:	850
ADDRESS:	28370 ROADSIDE DRIVE		TELEPHONE:	(818) 889-9841
CITY:	AGOURA HILLS	STATE: CA	ZIP CODE:	91301
CAPACITY:	140	CENSUS: 41	DATE:	12/10/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Tiffany House		TIME COMPLETED:	01:23 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	This is a change in ownership for the previous facility number 197402148 effective 12/10/2021. On December 10, 2021 at 11:30 AM, Licensing Program Analysts (LPAs) Francisco Pedroza and Dean Thompson conducted an announced pre-licensing change of ownership inspection. LPAs met with District Manager (DM) Katherine Stevens and facility Director Tiffany House and advised them the purpose of the inspection. DM and Director provided LPAs a tour of the facility inside and out. The center hours are Monday – Friday 7:00 am – 5:30 PM. There were 41 children in care at the time of the inspection. Facility submitted their application for a new license on April 28, 2021. LPAs observed required licensing notices posted prominently on the wall at the entrance of the facility. The facility will be using six (6) classrooms for children in care. One (1) of the classrooms will be used for Toddlers. LPAs observed the facility had enough restrooms for the children in care. LPA did not observe hazardous/toxin items accessible to children in care. LPAs observed a posted snack menu. Center provides lunch and two snacks throughout the day for children in care. LPAs observed age appropriate toys, activities, educational posters, and furnishings readily available for children in care. The facility provides a mat for children to use during quiet time if they choose to sleep. Children that do not sleep are provided a quiet activity to keep them engaged during that time. LPAs observed age appropriate structures and play equipment readily accessible to children in the outdoor recreation area. The facility has ample amount of shade. Children are provided water inside and out. Continued on 809-C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CHILDREN'S COURTYARD, THE	FACILITY NUMBER: 566216130
	VISIT DATE: 12/10/2021

NARRATIVE

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The facility will be using an electronic application for sign-in and sign-out. The application gives the facility the opportunity to communicate with parents. LPAs spoke with DM and Director regarding the current Covid-19 guidelines and Lead Exposure requirements. Currently the facility is following Covid-19 guidelines.

Facility Measurements:
Indoor – 6,015.53 square footage meets the requirement for 140 children.
Outdoor – 13,886.58 square footage meets the requirement for 140 children.

The center meets Title 22 Division 12 requirements.

License will be effective today, December 10, 2021 for 140 preschool children.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2021

LIC809 (FAS) - (06/04)

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