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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013415194
Report Date: 09/20/2021
Date Signed: 09/20/2021 05:43:42 PM

Document Has Been Signed on 09/20/2021 05:43 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:CELEBRATION LEARNING CENTERFACILITY NUMBER:
013415194
ADMINISTRATOR:JENSEN, JULIEFACILITY TYPE:
840
ADDRESS:1135 BLUEBELL DRIVETELEPHONE:
(925) 245-1252
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY: 60TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
09/20/2021
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
04:40 PM
MET WITH:Julie JensenTIME COMPLETED:
05:45 PM
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On 9/20/2021 at 4:40pm Regional Manager Anika Evans, Licensing Program Manager Wynn Norona, Licensing Program Analyst Jaylena Miller and Licensing Program Analyst Briana Plumboy conducted a case management visit to deliver a Temporary Suspension Order (TSO) to Celebration Learning Center. Celebration Learning Center must cease operation by close of business today, 9/20/2021 at 6:00pm. Celebration Learning Center was given TSO package, including Order for Temporary Suspension of License, Accusation, Summary of Charges, Request for Discovery and Notice of Defense.

At 4:43 pm Regional Manager Anika Evans explained the TSO process to Director Julie Jensen and Pastor Larry Ihrig who was over the phone. Per Larry Ihrig he is refusing to provide us a copy of the current children's roster (LIC 9040) to provide a TSO packet to the parents however, we were given permission by senior staff Eden Lim to leave the TSO packet with Director Julie Jensen to pass out to parents. LPA Plumboy and LPM Norona were able to pass out packets to the parents of the children who were in attendance today.

Temporary Suspension Order was placed on the front door of the school age program and the front door of the preschool program and must be posted until further notice.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jaylena Miller
LICENSING EVALUATOR SIGNATURE: DATE: 09/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/20/2021
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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