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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
566208585
Report Date:
11/07/2024
Date Signed:
11/07/2024 09:58:30 AM
Document Has Been Signed on
11/07/2024 09:58 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
SANTA BARBARA CC RO
,
6500 HOLLISTER AVE., SUITE 200
GOLETA
,
CA
93117
FACILITY NAME:
THREE ANGELS PRESCHOOL AND INFANT CENTER
FACILITY NUMBER:
566208585
ADMINISTRATOR/
DIRECTOR:
MARY WIGGINS
FACILITY TYPE:
830
ADDRESS:
6300 TELEPHONE RD.
TELEPHONE:
(805) 639-0363
CITY:
VENTURA
STATE:
CA
ZIP CODE:
93003
CAPACITY:
20
TOTAL ENROLLED CHILDREN:
20
CENSUS:
0
DATE:
11/07/2024
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:
TIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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On 11/7/2024 LPA Negrete visited the Three Angels Preschool and Infant Center. LPA Negrete attempted to deliver complaint findings during the visit. The aforementioned complaint was received by child care licensing on 08/21/2024. LPA parked vehicle and proceeded to ring the bell that is located on the back gate entrance. Church staff drove up to LPA in white truck. Church staff informed LPA the aforementioned center is closed today due to poor air quality. LPA did not observe any infants at the aforementioned center.
Ana Tolentino
TELEPHONE:
(805) 218-0429
German Negrete
TELEPHONE:
805-315-8362
DATE:
11/07/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/07/2024
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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