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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566213539
Report Date: 03/10/2025
Date Signed: 03/10/2025 10:18:24 AM

Document Has Been Signed on 03/10/2025 10:18 AM - 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: 39DATE:
03/10/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Kathryn DeanTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On 3/10/2025 Licensing Program Analyst (LPA) German Negrete made an unannounced visit for the purpose of completing/closing a Case Management - Incident inspection . Today LPA met with Center Director Kathryn Dean. LPA informed Director the purpose for todays inspection. LPA did a walk through of the Child Care Center(CCC) with the Center Director. LPA observed at the time of the walk-through 39 children and 6 staff.

On 2/13/2025, Director contacted Community Care Licensing (CCL) to self-report the following unusual incident: at approximately 8:15 AM during a rainy day, Teacher#1 heard screaming "help help help" from the parking lot. Teacher#1 went outside to assist another Teacher#2(substitute for the Sunflower Classroom) who had fallen in the parking lot. Teacher#1 left two children(C1,C2) unattended in classroom#10, another Teacher#3 went in to room#10 to supervise the two children who were playing with play dough 2-3 minuets . Center staff were not aware two children were left unsupervised.

During the course of the investigation, LPA interviewed staff and conducted a children's file review. Also LPA conducted/completed parent interviews(see LIC812).

LPA confirmed LIC624 written unusual incident report was submitted by Director on 2/13/2025 via email. LPA verified Director followed reporting requirements as outlined in Title 22 Californian Code of Regulations(CCR)

As mentioned LPA interviewed Director and staff. Through these interviews LPA confirmed teacher#1 who supervised C1 and C2 in the classroom(#10) left the children unsupervised for 2 to3 minutes LPA determined CCC did not follow section 101229 (Responsibility for providing care and supervision) in Title 22 California Code of Regulations. Continued on LIC809-C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE: DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2025
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: 03/10/2025
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As mentioned, LPA conducted parent interviews. The parent interviews revealed that the CCC notified the parents of C1 and C2 about the incident that left C1 and C2 without care and supervision.. Through parent and staff interviews, LPA verified , staff and Director followed the guidelines listed under 'Observations of a Child' (101626.3(b)) in Title 22 CCR.

Today CCC will receive a technical violation(See LIC9102)

Exit interview was conducted and report was read to Director Kathryn dean.

Notice of site visit was provided and must remain posted for 30 consecutive days.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025
LIC809 (FAS) - (06/04)
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