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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215361
Report Date: 05/10/2019
Date Signed: 05/15/2019 09:46:07 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:NEXT GENERATION CHILD DEVELOPMENT CENTER LLCFACILITY NUMBER:
406215361
ADMINISTRATOR:DENISE JUAREZFACILITY TYPE:
850
ADDRESS:10333 EL CAMINO REALTELEPHONE:
(805) 466-1745
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY:63CENSUS: 27DATE:
05/10/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Denise Juarez, DirectorTIME COMPLETED:
02:30 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Gigi Reyes and Melissa Stewart conducted an unannounced annual/random and met with Director/Licensee Ms. Denise Juarez. There were 27 children and 5 teachers present including the director. Children were napping when LPAs arrived in the center. The center has two buildings, building # 501 in the upper level and building # 510 in the lower level. LPAs observed age appropriate toys, books and equipment. There are no guns nor ammunition in the center. LPAs did not observe any bodies of water. The outdoor space is completely fenced equipped with age appropriate play structure. An adequate amount of cushioning wood chips material was observed. Hazardous items are stored inaccessible to children.

LPAs reviewed children's file and found complete. Director and staff have complete record of immunization and met the SB 792 requirements. CPR and First Aid expires on 2/23/2021. Carbon monoxide and smoke detectors are present. Director has been providing the "Effects of Lead Exposure" flyer to parents of day care children. LPAs discussed the IMS plan of operation, as to administering, storage, transporting, staff and training requirements. training. LPAs observed the expired over the counter medication was not dispensed or returned to parent.

The center is providing Incidental Medical Services. (IMS) This facility provides Incidental Medical Services – IMS. 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. Continued on 809 C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: NEXT GENERATION CHILD DEVELOPMENT CENTER LLC
FACILITY NUMBER: 406215361
VISIT DATE: 05/10/2019
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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: http://www.ada.gov/childqanda.htm

In the areas evaluated, deficiency was cited under Title 22 Division 12 of California Code of Regulation. Appeal Rights Given

LPAs observed director posted the notice of site visit.
FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.



SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: NEXT GENERATION CHILD DEVELOPMENT CENTER LLC
FACILITY NUMBER: 406215361
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/10/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/17/2019
Section Cited
CCR
101226(e)(6)
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Health and Related Services
When no longer needed by the child, or when the child withdraws from the center, all medications shall be returned to the child's authorized representative or disposed of after an attempt to reach the authorized representative.
This requirement is not met as evidenced by:
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Director will return the exoired medication to the parent today, 5/10/2019.
The director will mark her calendar a month before any medication expires and will submit a plan of correction to CCLD no later than 5/17/2019. melissa.stewart@dss.ca.gov
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Based on LPAs observation, an over the counter medication of Child 1 was still in the medication box. Director stated that Child 1 does use it anymore. It was administered only once.
This pose a potential risk to health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
LIC809 (FAS) - (06/04)
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