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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426214409
Report Date: 04/24/2024
Date Signed: 04/24/2024 05:14:58 PM

Document Has Been Signed on 04/24/2024 05:14 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:
(805) 733-7330
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 10DATE:
04/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:45 PM
MET WITH:Maria AnguloTIME VISIT/
INSPECTION COMPLETED:
05:25 PM
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On April 24, 2024 at 3:45 PM, Licensing Program Analyst (LPA) Sylvia Mendoza-Ceja conducted an unannounced Case Management - Incident inspection. LPA met with Licensee/Director Maria Angulo and informed her of the purpose of the inspection. At the time of the inspection there were Director and two staff providing care to 10 children.

On 4/15/2024, Licensee/Director Maria Angulo reported an incident to the Department as required which occurred on 04/12/2024. Director reported child #1 inappropriately acted out aggressively towards child #2.

LPA conducted interviews with some of the staff. LPA advised additional information is needed to conclude the Case Management - Incident. Report was reviewed with Licensee/Director Maria Angulo.

Exit interview was conducted with Licensee/Director. Notice of site visit was given.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Sylvia Ceja
LICENSING EVALUATOR SIGNATURE: DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/24/2024
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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