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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406213520
Report Date: 06/03/2024
Date Signed: 06/03/2024 12:24:51 PM

Document Has Been Signed on 06/03/2024 12:24 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:INSPIRATIONS PRESCHOOL CENTERFACILITY NUMBER:
406213520
ADMINISTRATOR/
DIRECTOR:		KATHERINE BURNETTFACILITY TYPE:
850
ADDRESS:925 VINE ST.TELEPHONE:
(805) 238-6888
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY: 52TOTAL ENROLLED CHILDREN: 52CENSUS: 22DATE:
06/03/2024
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Katherine BurnettTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 6/3/2024 at 10:45 AM, Licensing Program Analyst, (LPA) Gigi Reyes conducted an unannounced collateral inspection at the above Child Care Center (CCC) to interview a child. LPA met with Director Katherine Burnett and discussed the purpose of the inspection. LPA observed 22 children and 6 staff present at the CCC.

No deficiency was cited during today's inspection.

Notice os Site Visit was issued and must be posted for 30 days.

Exit interview conducted and report was reviewed with director, Katherine Burnett.




SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 06/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2024
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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