Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215048
Report Date: 08/09/2016
Date Signed 08/09/2016 12:30:16 PM

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:SOMIS COMMUNITY PRESCHOOLFACILITY NUMBER:
566215048
ADMINISTRATOR:NELLUM LEWISFACILITY TYPE:
850
ADDRESS:3300 WEST STREETTELEPHONE:
(805) 844-6093
CITY:SOMISSTATE: CAZIP CODE:
93066
CAPACITY:30CENSUS: 15DATE:
08/09/2016
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Nellum LewisTIME COMPLETED:
12:41 PM
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LPA Mingle made an unannounced visit for a Case Management - licensee initiated, for an increase in capacity, and met with the director, Ms. Nellum Lewis. The purpose of the visit was discussed and a tour of the classrooms were conducted. There 2 classrooms were being used when LPA arrived.

The classroom in question is the Frogs (Pre- K class). Fire inspection was conducted by Ventura County Fire Department on 7/27/16 and was approved for a capacity of 61.

Indoor total measurement was 584.08 square feet for the new classroom. Which can accommodate 16 more children.
Outdoor activity space measures 4980 square feet.

The center is approved for a total capacity of 46 children. Capacity not to exceed 46 children.
SUPERVISOR'S NAME: Patricia S. GutierrezTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: George MingleTELEPHONE: 805-562-0400
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2016
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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