<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426211978
Report Date: 03/20/2024
Date Signed: 03/20/2024 07:59:02 PM

Document Has Been Signed on 03/20/2024 07:59 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CHILDS VILLAGE PRESCHOOL OF LOMPOC, AFACILITY NUMBER:
426211978
ADMINISTRATOR:KIMBERLY KRANZFACILITY TYPE:
850
ADDRESS:126 NORTH G STREETTELEPHONE:
(805) 735-7272
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 9DATE:
03/20/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:26 PM
MET WITH:Kimberly KranzTIME COMPLETED:
01:45 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
On March 20, 2024, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced case management-deficiencies inspection at the Child Care Center (CCC). The purpose of this report is to document deficiencies observed during today's inspection. LPA was greet by Veronica Garcia, Teacher aide of the CCC and advised her the purpose of the inspection. LPAs observed nine (9) children being cared by S1 and S2. LPA notes Director arrived at the CCC about 20 minutes after the inspection initiated.

At 11:35 AM, LPA verified the list of fingerprinted adults in Guardian and found that S2 currently appears in process. Director reported that S2 has been employed with the CCC since about September 2023, and Director was under the impression that she was cleared and associated to this facility. A type A deficiency is being cited. Civil Penalty will be assessed. Appeals Rights were given.

This report is also to document a common trend that was expressed by parents during parent interviews. Various parents expressed having a concern with not being allowed in the CCC. LPA and Director discussed parent rights and Director understands that parents should be allowed in the center, as CCLD no longer has COVID-19 restrictions in place. A technical violation is being issued during today's inspection.

Today, deficiency cited under Title 22 Division 12. Appeal rights given. Upon receipt of this report, licensee shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report.

Exit interview was conduct and report was reviewed with Director, Kimberly Kranz. Notice of site visit was provided and must remain posted for the next 30 days.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2024
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
Document Has Been Signed on 03/20/2024 07:59 PM - It Cannot Be Edited


Created By: Francisca Velazquez On 03/20/2024 at 12:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CHILDS VILLAGE PRESCHOOL OF LOMPOC, A
FACILITY NUMBER: 426211978

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
03/21/2024
Section Cited
CCR
101216(i)(1)(2)

1
2
3
4
5
6
7
 (i)Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearance...(2) Request a transfer of a criminal record clearance. This requirement was not met as evidence by:
1
2
3
4
5
6
7
Director sent S2 home and understands that S2 must be associated and elgible cleared prior to S2 returning to the CCC. Director will submit a detail summary regarding communicating with Guardian and will ensure S2 is cleared and associated to the CCC prior to returning to the CCC. Detailed
8
9
10
11
12
13
14
LPA's review of Guardian and LIS identified S2 is associated to the CCC but is currently reflecting "In Process" Per Director, S2 has been employed in the facility since about September 2023 and Director, was under the impression that S2 was cleared and associated to the CCC.
8
9
10
11
12
13
14
summary is due by 3/21/24 via email to Francisca.Velazquez@dss.ca.gov

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/20/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2