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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214398
Report Date: 05/09/2024
Date Signed: 05/09/2024 11:39:09 AM

Document Has Been Signed on 05/09/2024 11:39 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:LITTLE TREE PRESCHOOL, THEFACILITY NUMBER:
566214398
ADMINISTRATOR/
DIRECTOR:
LYDIA FEDORAKFACILITY TYPE:
850
ADDRESS:1690 E. MAIN STREETTELEPHONE:
(805) 652-1609
CITY:VENTURASTATE: CAZIP CODE:
93001
CAPACITY: 55TOTAL ENROLLED CHILDREN: 55CENSUS: 42DATE:
05/09/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:27 AM
MET WITH:Colleen SolesTIME VISIT/
INSPECTION COMPLETED:
11:47 AM
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On 5/9/2024 Licensing Program Analysts (LPAs) German Negrete and Sylvia Ceja made an unannounced visit for the purpose of conducting a Case Management - Incident inspection. LPAs met with lead teacher Colleen Soles and discussed the purpose of the visit. During today’s inspection, LPAs did a walk through of the Child Care Center with the lead teacher. At the time of the inspection LPAs observed 6 staff supervising 42 children.

On 04/11/2024, Director Lydia Fedorak self-reported to Community Care Licensing (CCL) an unusual incident. Director reported she received an email stating C1 would not be returning to the preschool due to a staff inappropriately lifting a child and spoke to C1 in a rude manner.

During todays inspection LPAs interviewed lead teacher and S1. LPAs requested and received copies of the facility roster with children/parent contact information, staff roster with contact information and email from P1 pertaining to the incident on 4/11/2024. In addition LPAs reviewed a video from an app called ClassDojo and LPAs obtained a copy. Lead teacher was advised the incident needs further investigation.

Report was reviewed with the lead teacher and a copy provided.

Exit interview was conducted with lead teacher and report was reviewed. Notice of site visit was given.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2024
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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