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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215987
Report Date: 11/10/2021
Date Signed: 11/10/2021 12:19:03 PM

Document Has Been Signed on 11/10/2021 12:19 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:HILLCREST CHRISTIAN SCHOOLFACILITY NUMBER:
566215987
ADMINISTRATOR:CHERYL CURTISFACILITY TYPE:
850
ADDRESS:449 WILBUR ROADTELEPHONE:
(805) 495-5513
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY: 168TOTAL ENROLLED CHILDREN: 168CENSUS: 75DATE:
11/10/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Cheryl CurtisTIME COMPLETED:
12:25 PM
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On November 10, 2021 at 11:35 AM, Licensing Program Analysts (LPAs) Francisco Pedroza and Dean Thompson conducted an unannounced Case Management inspection. LPAs met with facility Director Cheryl Curtis and advised her the purpose of the inspection. Director provided LPAs a tour of the facility inside and out. There were 75 children in care at the time of the inspection.

LPAs returned back to the facility to complete a Case Management inspection that was conducted on November 9, 2021. LPAs were not able to complete the inspection. The FAS computer program went into a consistency check preventing LPAs from signing the reports and printing the documents.

Notice of Site Visit Posted.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 11/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/10/2021
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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