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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 401710474
Report Date: 08/08/2024
Date Signed: 08/08/2024 10:59:44 AM

Document Has Been Signed on 08/08/2024 10:59 AM - It Cannot Be Edited

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:BISHOP'S PEAK SCHOOLFACILITY NUMBER:
401710474
ADMINISTRATOR/
DIRECTOR:		VALERIA MASON-GALEFACILITY TYPE:
840
ADDRESS:451 JAYCEE DRIVETELEPHONE:
(805) 781-7447
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
08/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Michelle RolleTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 8/8/24, at 10:15 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Case Management inspection (Licensee Initiated) of the abovementioned Child Care Center (CCC) as the CCC is requesting permission to relocate to another classroom within the same property/elementary school. LPA note the CCC operates out of a module classroom on the grounds of Bishop's Peak Elementary School. LPA met with Michelle Rolle, Administrator of the CCC, and explained nature and purpose of the inspection. LPA notes no children are present during today's inspection.

LPA, in the company of Administrator, toured the interior and exterior of the CCC, as well as the proposed relocation classroom. The proposed relocation classroom, Room 20, is also on the grounds of Bishop's Peak Elementary School. The CCC planned to relocate to Room 20 for the fall of the 2024 school year which is set to commence on 8/15/24.

LPA observed Room 20 to have accommodations to support child care services. LPA notes Room 20 is a module room which the CCC perviously operated from. The aforementioned was relocated within the elementary school from the western corner of the property to the center of the property, just outside of the school's Administrative building. Room 20 has water sources outside of the room's entry/exit door, as well as an operable carbon monoxide detector. The room has centralized air conditioning. Age appropriate furnishing and equipment are being moving into the Room 20 from the CCC's existing location. The CCC is in proximity to restrooms (two) for children in care with a feasible number of sinks and toilets. CCC is planning to use the existing outdoor play area. Administrator is reminded to ensure children in care are not accessing play structures which are not age appropriate.

The proposed room is exactly the same scale as the CCC's existing room used for child care services. As such, Room 20 is feasible to support child care service. The CCC is granted permission to relocation to Room 20 at the commencement of the 2024 Fall school year (8/15/24).
(CONT. 809-C, Page 2)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2024
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: BISHOP'S PEAK SCHOOL
FACILITY NUMBER: 401710474
VISIT DATE: 08/08/2024
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No deficiencies have been cited during today's visit. A Notice of Site Visit (LIC 9213) and Appeal Rights (LIC 9058) are given to Administrator. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100 may apply.

Exit interview conducted and report was reviewed with the Facility representative, Michelle Rolle.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024
LIC809 (FAS) - (06/04)
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