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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215335
Report Date: 05/19/2023
Date Signed: 05/19/2023 01:04:27 PM

Document Has Been Signed on 05/19/2023 01:04 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:FUSD - SESPE PRE SCHOOLFACILITY NUMBER:
566215335
ADMINISTRATOR:LORENA RAMOSFACILITY TYPE:
850
ADDRESS:627 SESPE AVETELEPHONE:
(805) 524-8202
CITY:FILLMORESTATE: CAZIP CODE:
93015
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 32DATE:
05/19/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Lorena RamosTIME COMPLETED:
10:30 AM
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On May 19, 2023 at 09:30 AM Licensing Program Analyst (LPA) Laura Villanueva and Licensing Program Manager (LPM) George Mingle made an unannounced inspection to conduct a Case Management-Incident visit. LPA and LPM met with Program Director, Lorena Ramos and explained the purpose of the visit. LPA observed a total of 32 children under the care and supervision of 5 staff.

On March 16, 2023, an incident was reported to the department informing of a child urinating on herself and child disclosed she saw blood in her urine when using the bathroom the night before. Staff and school district's nurse informed they did not observe the child to be wet or evidence of blood. The child told staff her stomach hurt. Parent was informed as well as child's pediatrician. Parent informed the doctor confirmed the diagnosis of a UTI and prescribed medication.

LPA and LPM reviewed report with Program Director, Lorena Ramos and provided a copy of report.
No citations were cited
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 05/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2023
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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