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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214398
Report Date: 10/11/2024
Date Signed: 10/11/2024 01:57:43 PM

Document Has Been Signed on 10/11/2024 01:57 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: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: 26DATE:
10/11/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 AM
MET WITH:LYdia FedorakTIME VISIT/
INSPECTION COMPLETED:
02:10 PM
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On 10/11/2024 Licensing Program Analyst (LPA) German Negrete made an unannounced visit for the purpose of completing a Case Management - Incident inspection. Today LPA met with Center Director Lydia Fedorak, LPA did a walk through of the Child Care Center(CCC) with the Director. LPA observed at the time of the walk-through 26 children being supervised by 5 staff.

The purpose of the case management inspection was due to a incident that occurred at the CCC. The center reported the incident to the Department as required. Before the incident occurred on 10/02/2024 The parent(P1) was planning to dis-enroll C1 and communicated this plan to the director via email. Then at approximately 11am on 10/02/2024 P1 arrived demanding to have their child's file(C1). P1 reported that if , P1 could not obtain the file P1 would contact the police. The director informed P1, how P1 needed to leave due to the director providing care and supervision to children, therefore director could not meet with P1 at the time.

During the inspection, LPA reviewed the incident report and discussed the incident with the Director.

Based on the record/email review and observations, it was discovered staff followed reporting requirement as outlines by Child Care Regulations, Title 22 and acted accordingly in supporting children in care during the incident.

Investigation concluded and exit interview conducted with director. Notice of site visit was issued.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2024
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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