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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566208149
Report Date: 07/21/2022
Date Signed: 07/21/2022 11:11:17 AM

Document Has Been Signed on 07/21/2022 11:11 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:HOLY CROSS PRESCHOOL AT SAN BUENA VENTURA MISSIONFACILITY NUMBER:
566208149
ADMINISTRATOR:BRENDA AMBRIZ CORTEZFACILITY TYPE:
850
ADDRESS:183 E. MAIN ST.TELEPHONE:
(805) 643-1500
CITY:VENTURASTATE: CAZIP CODE:
93001
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
07/21/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:39 AM
MET WITH:Jessica Reddick TIME COMPLETED:
11:14 AM
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 July 21, 2022 Licensing Program Analyst (LPA) Austin Rios conducted an unannounced Case Management inspection. Prior to entering the facility, LPA conducted Covid-19 screening questions. LPA met with facility principal Jessica Reddick and advised her the purpose of the inspection. Facility principal provided LPA a tour of the facility inside and out. There were zero children in care at the time of the inspection as facility is closed for summer break.

Community Care Licensing (CCL) received an approved fire clearance from Ventura County Fire Department on April 15, 2022. The facility requested an increase in capacity from 24 to 48 children.

Facility Measurements:

Indoor - 1,984 square footage meets and exceeds the requirement for 48 children.

Outdoor - 1,452 square footage does not meet or exceed the requirement for 48 children.

The center did not meet Title 22 Division 12 requirements for a change of capacity of 48 Pre-School children based on outdoor playground square footage after measurements were taken during a unannounced visit on 5/12/2022. Director was advised to submit a waiver for the outdoor playground area.



Facility later sent in a waiver to allow children in the preschool program to utilize a staggered schedule and share the outdoor activity space to meet the needs of the children.

Cont. on 809-C
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2022
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: HOLY CROSS PRESCHOOL AT SAN BUENA VENTURA MISSION
FACILITY NUMBER: 566208149
VISIT DATE: 07/21/2022
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
26
27
28
29
30
31
32
Facility shall comply with the following schedule:

• Room 114 (AM) : 9:30 AM - 10:15 AM
• Room 113 (AM): 10:20 AM - 11:05 AM
• Room 114 (PM): 12:15 PM - 12:30 PM
• Room 113 (PM): 12:35 PM - 12:50 PM
• Preschool Aftercare (12 Students): 3:00 PM - 3:45 PM

Appropriate teacher child ratio shall be maintained at all times and facility must maintain the terms of this waiver at all times. Commingling will not be allowed at any time. Facility shall keep waiver posted at all times. As of today 7/21/2022 facility license capacity is now 48 children.

An exit interview was conducted with facility principal. Waiver was printed and provider to the facility representative.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2