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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 401711243
Report Date: 12/20/2019
Date Signed: 12/20/2019 09:27:51 AM

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:CAPSLO - OCEANO MIGRANT CHILDREN'S CENTERFACILITY NUMBER:
401711243
ADMINISTRATOR:D WELCH/ G LIWANAGFACILITY TYPE:
850
ADDRESS:1800 WILMAR AVE. UNIT BTELEPHONE:
(805) 489-8125
CITY:OCEANOSTATE: CAZIP CODE:
93445
CAPACITY:24CENSUS: DATE:
12/20/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Luis AbelinoTIME COMPLETED:
09:26 AM
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(1)Licensing Program Analyst (LPA), Melissa Stewart, conducted an unannounced annual/random inspection and met with Teacher, Luis Abelino. The preschool operates, Monday - Friday, 7:30am - 4:45pm. All required forms, including monthly menu, are posted at the main entrance of the center. The center was toured inside and outside. There were two staff supervising 5 children who were actively engaged in indoor activities. The number of children signed in by parents corresponded with the number of children present. The classroom was observed to be clean, organized and free of toxins. LPA observed indoor activity centers containing audio listening area, books, puzzles, manipulatives, blocks, arts and crafts and dramatic play. The first aid kit is located in an orange backpack hanging by the exit to the playground. There are two carbon monoxide detectors. Teacher reported that there are no firearms, ammunition or bodies of water on the premises. The restrooms used by children were observed to be clean. The outdoor activity area contains and age appropriate climbing structure with foam cushioning to absorb a fall. LPA observed outdoor activity areas which included: reading area, turf, shade, cars and roadway, sandbox, toys and child sized tables. There is a water fountain outdoors. There is a second, larger playground located through a locked gate behind the building which is shared with another licensed facility on a schedule.

At least one teacher has current Pediatric CPR and First Aid certification which expires on 4/3/20. Based on a sample of staff files reviewed, staff have completed AB 1207 Mandated Reporter Training and have met immunization requirements per SB 792.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2019
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: CAPSLO - OCEANO MIGRANT CHILDREN'S CENTER
FACILITY NUMBER: 401711243
VISIT DATE: 12/20/2019
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This facility provides Incidental Medical Services – IMS. Medication is stored in a locked box on top of the refrigerator in the kitchen. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: www.ada.gov/childqanda.htm

LPA reviewed and provided Teacher with a copies of “Safe to Sleep" brochure and the “Effects of Lead Exposure” brochure. Teacher was advised to review Quarterly Updates and Provider Information Notices (PINs) which can be accessed on-line at www.ccld.ca.gov.



In areas evaluated, no deficiencies cited.

LPA observed Teacher post the Notice of Site visit.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2019
LIC809 (FAS) - (06/04)
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