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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566217046
Report Date: 11/06/2024
Date Signed: 11/06/2024 02:52:31 PM

Document Has Been Signed on 11/06/2024 02:52 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:PHOENIX RANCH SCHOOL & CAMPFACILITY NUMBER:
566217046
ADMINISTRATOR/
DIRECTOR:		VICKY DE LEONFACILITY TYPE:
860
ADDRESS:4974 COCHRAN ROADTELEPHONE:
(805) 527-7764
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY: 245TOTAL ENROLLED CHILDREN: 245CENSUS: 100DATE:
11/06/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:25 PM
MET WITH:Melissa EdwardsTIME VISIT/
INSPECTION COMPLETED:
02:56 PM
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On November 6th, 2024 Licensing Program Analyst (LPA) Rosie Breault conducted an announced pre-licensing inspection at the above forementioned facility to ensure that health, safety, and personal rights as requires by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. There were 100 children present during this inspection. A change of ownership application was submitted for preschool license # 566215196 and infant license # 566215214 which results in a single license conversion. Applicant has requested to care for 20 infants aged 0-2 years, 24 toddlers age 18 months to 36 months, and 201 preschoolers age 2 years to entry into first grade, for a total requested capacity of 245 children. LPA met with administrator Melissa Edwards and together toured the facility; measurements were taken of the 10 classrooms for care and supervision as well as outdoor play areas.

Due to local fire hazards, inspection was terminated to be rescheduled at a later date.

Exit interview conducted with administrator Melissa Edwards, copy of report provided.

NOTICE OF SITE VISIT POSTED AND TO REMAIN IN A PROMINENT LOCATION FOR 30 DAYS.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2024
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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