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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426214409
Report Date: 06/03/2024
Date Signed: 06/03/2024 04:42:28 PM

Document Has Been Signed on 06/03/2024 04:42 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:VILLAGE VALLEY PRESCHOOLFACILITY NUMBER:
426214409
ADMINISTRATOR/
DIRECTOR:		MARIA E. ANGULOFACILITY TYPE:
850
ADDRESS:3346 CONSTELLATION ROADTELEPHONE:
8057337330
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 4DATE:
06/03/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:00 PM
MET WITH:Maria AnguloTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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On 06/03/2024 at 4:00 PM, Licensing Program Analysts (LPA) Sylvia Mendoza-Ceja and German Negrete conducted an unannounced Case Management - Incident inspection to follow up on the incident reported 04/15/2024. LPAs met with Licensee/Director Maria Angulo and informed her of the purpose of the inspection. Lead Teacher Carissa Gonzales Angulo was also present cleaning and organizing. LPAs observed the Director providing care to 8 children.

On 04/12/2024, child #1 inappropriately acted out aggressively towards child #2. During the course of the investigation it was found there were three staff outside supervising up to 25 children on the playground, one teacher and two aides. Teacher-Child Ratio indicates "The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance". In order for the second aide to to be counted in the ratio there should have been another teacher outside supervising.

Although, the Lead Teacher was working this day, the Lead Teacher was not outside on the playground when the incident occurred. The Director/Licensee Maria Angulo was also not present during the incident.

Technical Violations reviewed the Licensee/Director:
Accountability: Licensee's advised it is their responsibility to assess and provide supervision needs of the children in care. Personal Rights to ensure that each child is accorded their personal rights.

Based on the information obtained revealed there was inadequate Teacher Child Ratios, one teacher and one aide may supervise up to 15 children. The following Type B deficiencies are cited on page 2.

Exit interview was conducted with Licensee/Director. Notice of site and Appeal Rights were given to Director.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Sylvia Ceja
LICENSING EVALUATOR SIGNATURE: DATE: 06/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2024
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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Document Has Been Signed on 06/03/2024 04:42 PM - It Cannot Be Edited


Created By: Sylvia Ceja On 06/03/2024 at 02:36 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: VILLAGE VALLEY PRESCHOOL
FACILITY NUMBER: 426214409

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/04/2024
Section Cited
CCR
101216.3(b)

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101216.3 (b) Teacher-Child Ratio: The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance.


This requirement was not met by:
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Please correct imedately.
Submit a written plan to ensure this violation is not repeated.
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Based on interviews of staff and record review: On 04/12/2024, it was found there was one teacher and two aides supervising up to 25 children on the playground when child #1 became aggressive with child #2. The two aides seperated child #1 and #2. The teacher on duty provided comfort to child #2.
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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:Sylvia Ceja
LICENSING EVALUATOR SIGNATURE:
DATE: 06/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/03/2024


LIC809 (FAS) - (06/04)
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