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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406210272
Report Date: 10/09/2023
Date Signed: 10/09/2023 12:41:28 PM

Document Has Been Signed on 10/09/2023 12:41 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:NIPOMO RECREATION - LITTLE BITS PRESCHOOLFACILITY NUMBER:
406210272
ADMINISTRATOR:MIRANDA AGUILARFACILITY TYPE:
850
ADDRESS:255 POMEROYTELEPHONE:
(805) 929-4175
CITY:NIPOMOSTATE: CAZIP CODE:
93444
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 17DATE:
10/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:31 AM
MET WITH:Amber VillamorTIME COMPLETED:
12:45 PM
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On 10/9/23, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Case Management Inspection of the abovementioned Child Care Center (CCC) to address an incident report received by CCLD on 7/6/23. Specifically, a C1 walked out of the classroom and opened the front door of CCC, where C1 proceeded to walk to the outdoor front gate. LPA met with Amber Villamor, Site Supervisor, and Director Miranda Aguilar and explained the purpose of the inspection.

Site Supervisor provided LPA an account of what transpired and re-enacted C1 walking out of the CCC. Site Supervisor notes C1 was trailed by Teacher Klya Riley as C1 was new to the facility. Site Supervisor estimated the duration C1 was outside of the sight of staff members as less than one minute. C1 was redirected to the classroom without incident and the parents of C1 were informed of the incident after occurrence. Site Supervisor informed LPA staff members providing care of C1 were addressed with regard to the incident and child safety gates were installed in the CCC.

No deficiencies were cited during todays inspection.



A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements may result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with representatives Amber Villamor and Miranda Aguilar.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2023
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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