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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216145
Report Date: 10/14/2021
Date Signed: 10/14/2021 04:43:28 PM

Document Has Been Signed on 10/14/2021 04:43 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CAROUSEL MONTESSORI PRESCHOOLFACILITY NUMBER:
566216145
ADMINISTRATOR:R. BALES, E. SUAFOAFACILITY TYPE:
850
ADDRESS:4451 LAS P0SAS RDTELEPHONE:
(805) 456-9823
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 21DATE:
10/14/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Robin BalesTIME COMPLETED:
04:55 PM
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This is a change in ownership for the previous facility number 566214006 effective 10/14/2021.

On October 14, 2021 at 2:32 PM, Licensing Program Analysts (LPAs) Francisco Pedroza and Dean Thompson conducted a pre-licensing change of ownership inspection. LPAs conducted Covid-19 screen questions prior to entering the facility. LPAs met with Owners/Directors Robin Bales and Elizabeth Suafo'a advised them the purpose of the inspection. Owner provided LPAs a tour of the facility inside and out. The center hours are Monday – Friday 7:00 am – 6:00 pm. There were 21 children in care at the time of the inspection.

Facility submitted their application for a new license on June 7, 2021. Community Care Licensing (CCL) received an approved fire clearance from Ventura County Fire Department on July 29, 2021. LPA observed required licensing notices posted prominently on the wall at the entrance of the facility. The facility will be using five (5) classrooms for children in care. One (1) of the classrooms will be used for an isolation room. The facility has a community restroom with four (4) sinks and toilets available for children to use. LPA did not observe hazardous/toxin items accessible to children in care. Facility stores all cleaners high up in a secured cabinet inaccessible to children. LPA observed a posted snack menu. Center provides a morning and afternoon snack for children. Children bring their lunch from home. LPA observed age appropriate toys and furnishings readily available to children in care. The center provides a cot for children to use during quiet time if they choose to sleep.

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SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/14/2021
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CAROUSEL MONTESSORI PRESCHOOL
FACILITY NUMBER: 566216145
VISIT DATE: 10/14/2021
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Children that do not sleep are provided a quiet activity to keep them engaged during that time. LPA observed age appropriate structures and play equipment readily accessible to children in the outdoor recreation area. The facility has ample amount of shade. Children are provided water inside and out. The center has a water filtration system to provide drinking water for children. Children have the option to bring their own water bottle from home to be filled as needed or the facility will provide a cup.

The facility will be using the electronic application Smart Care for sign-in and sign-out. The application gives the facility the opportunity to communicate with parents. The Incident Medical Services (IMS) policy was discussed. LPA spoke with Owner regarding the current Covid-19 guidelines and Lead Exposure requirements. Currently the facility is following Covid-19 guidelines. Owners are scheduled to complete their Preventative Health Practices portion of Lead Exposure training. LPAs advised owner to provide copies of the certificates to CCL.

Facility Measurements:

Indoor – 2,104.37 square footage meets the requirement for 60 children.

Outdoor – 7,110.60 square footage meets the requirement for 60 children.

The center meets Title 22 Division 12 requirements.



License will be effective today, October 14, 2021 for 60 preschool children.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
LIC809 (FAS) - (06/04)
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