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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406210272
Report Date: 08/21/2024
Date Signed: 08/21/2024 02:14:18 PM

Document Has Been Signed on 08/21/2024 02:14 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/
DIRECTOR:		MIRANDA AGUILARFACILITY TYPE:
850
ADDRESS:255 POMEROYTELEPHONE:
(805) 929-4175
CITY:NIPOMOSTATE: CAZIP CODE:
93444
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 25DATE:
08/21/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:46 PM
MET WITH:Miranda Aguilar and Amber VillamorTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On 8/21/24, Licensing Program Analysts (LPAs) Elvin Baddley and Shane Fotfus contacted an unannounced Case Management inspection of the abovementioned Child Care Center (CCC) to address the report of an Unusual Incident Report (UIR) received by the Department on 8/14/24. The UIR noted a teacher in care, herein S1, strike a child in care, herein, C1, during nap time at the CCC on 8/9/24. The incident was captured by the CCC’s Closed Circuit Television System (CCTV) and observed by 3 staff members. LPAs met with Miranda Aguilar, Administrator of the CCC, and Amber Villamor, Director of the CCC. LPAs observed 25 children on site, along with 6 teachers providing supervision.

LPAs, Administrator and the Director viewed video footage of the incident. Director noted C1 no longer attends the CCC. Further, Administrator and Director informed LPAs C1 sustained no injuries as a result of the incident. With respect to S1, Administrator and Director informed LPAs S1 was terminated from the CCC following the incident. The termination date for S1 was 8/13/24.

As the matter was referred to the Department in the form of a Complaint on 8/21/24, the disposition of the incident is contained in the Complaint Investigation Report (LIC 9099) generated on 8/21/24. LPAs will also be interviewing the associated teachers as well as the care giver of C1.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 08/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2024
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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