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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300213
Report Date: 04/24/2023
Date Signed: 04/24/2023 01:54:52 PM

Document Has Been Signed on 04/24/2023 01:54 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:BUDS AND BLOSSOMS PRESCHOOLFACILITY NUMBER:
376300213
ADMINISTRATOR:NIKKI BOLESFACILITY TYPE:
850
ADDRESS:2809 S MISSION RDTELEPHONE:
(760) 645-3044
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 38DATE:
04/24/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:Nikki BolesTIME COMPLETED:
02:10 PM
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On April 24, 2023 at 9:46 Licensing Program Analysts (LPAs) Ana Noble and William Chancellor and Licensing Program Managers (LPMs) Pauline Beschorner and Deborah Mullen arrived at the facility to conducted Case Management Inspection at combination center with Preschool and Infant licenses. LPAs and LPMs met with Nikki Boles to provide the purpose of the inspections to measure both the Infant classroom and Preschool Classroom due to changes made by the Licensee to the use of Indoor and Outdoor spaces, and is requesting to remove the Toddler Option Program. Facility Sketch will need to be submitted for Preschool and Infant
Preschool Indoor Activity
Room #1-5 = Total indoor activity space: 1486 divided by 35 = 42 children.

Preschool Outdoor Activity
Current licensed Playgrounds - Playground #1 (Larger) and Playground #2 (Next to Room #1). Waiver required to use Playgrounds 1 and 2 on a scheduled basis, no more than 63 children at any given time.

Areas NOT currently licensed:
Deck #1 and Deck #2=1038.20 divided by 75 = 13, Licensee agrees to make the recommended changes to deck # 1 the fencing (bars no more than 4 inches), lower the entry to the upper deck, clear all of the storage in this area and make electrical wiring inaccessible. In Deck #2-fencing to meet the minimum height of 4 feet high and the bars no more than 4 inches apart.
Based on the changes made, LPA Noble has determined that Indoor Activity space Classroom #1-5 has sufficient space for 42 Preschool Children. The Outdoor Activity space there is sufficient space for 63 on Playground 1-2.
Licensee-Nikki Boles, was informed that prior to any changes made to physical plants both indoor and outdoor to areas used by children requires a Case Management inspection by the Department prior to implementing an changes.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE: DATE: 04/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/24/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: BUDS AND BLOSSOMS PRESCHOOL
FACILITY NUMBER: 376300213
VISIT DATE: 04/24/2023
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No deficiencies cited during inspection.

An exit interview was conducted and a copy of this report, notice of site visit and appeal rights was provided to the Nikki Boles, Licensee on this date. A copy of this report must be made available to the public for 3 years.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2023
LIC809 (FAS) - (06/04)
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