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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566213539
Report Date: 09/10/2024
Date Signed: 09/10/2024 02:43:03 PM

Document Has Been Signed on 09/10/2024 02:43 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:FREDRICKSON FAMILY EARLY CHILDHOOD CENTERFACILITY NUMBER:
566213539
ADMINISTRATOR/
DIRECTOR:		KATHRYN DEANFACILITY TYPE:
850
ADDRESS:3450 CAMPUS DR.TELEPHONE:
(805) 493-3247
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY: 57TOTAL ENROLLED CHILDREN: 57CENSUS: DATE:
09/10/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:22 PM
MET WITH:Kathryn DeanTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 09/10/24 at 1:22PM, Licensing Program Analyst (LPA) Veronica Diaz conducted a Case Management-Incident inspection at the Child Care Center (CCC), for the purpose of following up on the report of an Unusual Incident Report (UIR) received by the Department on 08/30/24. Specifically, the incident involved a parent and a child in care, C1. Parent collided with preschool building classroom 2. LPA met with Director discuss the purpose of today's inspection. LPA notes 19 children and 7 staff were present during inspection.

Director Kathryn Dean informed Licensing, Parent collided with the preschool building classroom 2 with C1 in the car. Director stated that there were no visible injuries on C1. C1 was arriving to class and attended preschool for the whole day as staff observed C1 thought the day. Director stated there was no kids in the classroom at the time of the accident. Director stated that children are dropped off in the play yard in the morning and the children in room 2 go in around 10:30 daily. Director stated the children had outside class and napped in room 10. Room 10 ratio for that day was 6 combined. Director stated that they are a outdoor class typically and are outside majority of the day. Director stated that they provided water bins with the children's water bottles accessible to them. LPA observed plenty of shade outside. LPA observed canopies and lots of trees in their outside play area. Director stated that children didn't have access to their classroom for 1 day due to the accident. Director stated due to the accident happing right before the holiday weekend (Labor Day) they were able to have it repaired before the children returned on Tuesday 9/3/24. LPA asked if the center had a copy of the local police report Director stated that they only had a copy of the campus police report. Director stated the police report number is in the report. LPA asked if they knew if parent was impaired or seem to be, Director stated parent didn't seem to be impaired and isn't sure if a sobriety test was done. Director stated that the parent had spinal surgery on 02/01/24 and has just started driving recently. Director stated due to the report given the parent has been driving with his left foot instead of his right foot. According to report giving by campus police parent placed their left foot on the accelerator instead of the break causing them to collide with the building. LPA received a copy of the campus police report.

809-C

SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/10/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: FREDRICKSON FAMILY EARLY CHILDHOOD CENTER
FACILITY NUMBER: 566213539
VISIT DATE: 09/10/2024
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LPA investigated this incident and based on interview with Director, record reviews and LPA personal observation there is no deficiencies.

Following the incident C1 continues to be enrolled in the CCC.



During today’s inspection no deficiencies issued.
Exit interview and review of report was conducted with Director Kathryn Dean

Notice of Site visit was provided and must remain posted for the next 30 days.

SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
LIC809 (FAS) - (06/04)
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