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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
566215802
Report Date:
10/03/2024
Date Signed:
10/04/2024 02:13:31 PM
Document Has Been Signed on
10/04/2024 02:13 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:
TEMPLE ADAT ELOHIM, GALLANT-SCHIFF INFANT CENTER
FACILITY NUMBER:
566215802
ADMINISTRATOR/
DIRECTOR:
DONNA BECKER
FACILITY TYPE:
830
ADDRESS:
2420 EAST HLLCREST AVENUE
TELEPHONE:
(805) 497-6920
CITY:
THOUSAND OAKS
STATE:
CA
ZIP CODE:
91362
CAPACITY:
12
TOTAL ENROLLED CHILDREN:
12
CENSUS:
DATE:
10/03/2024
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:
TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 10/03/24 LPA Veronica Diaz did an attempted 3 year Required annual at the CCC. When LPA arrived at the facility while still in the car LPA was greeted by security guards that stated that I will not be able to enter due to the preschool/Infant Center being closed today. LPA asked if they can talk to director but was told they were not available at the time. LPA tried calling the number on the profile sheet and no answer. While leaving LPA was greeted by another staff member who stated "would you like me to call my boss out to talk to you" LPA stated yes can I please talk to them. LPA asked who were they specking to the person stated " I am the President here" no name given. LPA stated why they were there today and "president" stated well the preschool/Infant Center is closed.
LPA was informed that the site Director is no longer Donna Becker and is now Lindsay Wozniak. Lindsay Wozniak was not available LPA well contact center director at a later time.
SUPERVISORS NAME
:
Lissete Gonzalez
LICENSING EVALUATOR NAME
:
Veronica Diaz
LICENSING EVALUATOR SIGNATURE
:
DATE:
10/04/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/04/2024
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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