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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215252
Report Date: 08/12/2024
Date Signed: 08/12/2024 12:02:02 PM

Document Has Been Signed on 08/12/2024 12:02 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:VENTURA CHILDREN'S LEARNING CENTERFACILITY NUMBER:
566215252
ADMINISTRATOR/
DIRECTOR:		VIKTORIIA SHEVKUNOVAFACILITY TYPE:
850
ADDRESS:1110 PETIT AVE.TELEPHONE:
(805) 672-0300
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY: 128TOTAL ENROLLED CHILDREN: 128CENSUS: 69DATE:
08/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Viktoria Sherkanova.TIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On 08/12/2024 a Case Management Inspection was conducted by LPA German Negrete who met with Director Viktoria Sherkanova. LPA advised the purpose of today's inspection was to review the incident which was reported to the Department on 05/22/2024 LPA conducted a tour of the facility inside and out with the director. LPA observed 69 children being supervised by 10 staff.

Director of the facility stated the following : On 5/22/2024 at 2:32 PM, Child#1 (5 years 5 months) attempted to jumped off the small play structure, child#1 lost coordination/balance and Child#1 landed on the right arm. The lead teacher, S#1 approached child#1 after observing the child crying. The director called the parent of the child#1, Parent#1 (an employee/teacher of the center) to come and Parent#1 saw Child#1 after the incident. Also director was able to show camera footage of the incident to Parent#1. In todays interview parent#1 stated and confirmed parent#1 was able to observe the camera footage of the incident.

Director submitted a LIC624 Unusual Incident Report, with in the appropriate time frame, per Tittle 22 Regulations. During todays inspection LPA observed the play yard(s). LPA documented photos of the play structures. LPA observed Director remove the play structure(play structure#1) from the facility, that Child#1 fell off . Also Director stated, play structure#1 was removed from the big yard immediately after the incident and was placed in the toddler yard. LPA received manufactures instructions for play structure#1.

Due to insufficient information available at the time of this inspection, the investigation will be on going.

Exit Interviewed conducted with Director . A notice of site visit was provided.
FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN $100.00 CIVIL PENALTY


SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE: DATE: 08/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/12/2024
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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