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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426211835
Report Date: 09/08/2021
Date Signed: 09/08/2021 03:48:19 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:ST. MARKS IN THE VALLEY ESPISCOPAL CHURCH PRE-SCHFACILITY NUMBER:
426211835
ADMINISTRATOR:YVONNE LOWEFACILITY TYPE:
850
ADDRESS:2901 NOJOQUI AVE.TELEPHONE:
(805) 688-1815
CITY:LOS OLIVOSSTATE: CAZIP CODE:
93441
CAPACITY:24CENSUS: 0DATE:
09/08/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Yvonne LoweTIME COMPLETED:
03:50 PM
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On September 8, 2021 Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Annual Required inspection of the above mentioned Child Care Center (CCC). Prior to inspection, LPA asked pre screening questions related to COVID 19, Director's responses indicate there was no COVID exposure on site. LPA met with Director, Yvonne Lowe and explained the nature of the inspection. LPA, in the company of the Director toured the interior and exterior of the CCC. There were no children at the time of the inspection only the four staff including the director The CCC operates from Monday to Friday, 9:00 AM to 2:00 PM. Director stated there were 20 children and 4 staff present.

During the tour, the following was observed, classroom is adequately equipped with age and size appropriate furniture and equipment. Water dispenser supplies drinking water in the indoor activity space. Playground is enclosed by an appropriate fence. Outdoor activity area is equipped with age and size appropriate equipment. An adequate amount of cushioning material is in place under play equipment. Adequate shade is available. Drinking water is provided in the outdoor play area by a water pitcher.

A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information as well as medical assessments. A review of staff records on 9/8/2021 indicates that all facility staff have criminal record clearance. CPR and First Aid expires on 10/01/2022.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021
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: ST. MARKS IN THE VALLEY ESPISCOPAL CHURCH PRE-SCH
FACILITY NUMBER: 426211835
VISIT DATE: 09/08/2021
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Sign in and sign out record meets the regulation requirements. AB 1207 Mandated Reporter Training Certificate expires on 2/25/2022,

Director noted no firearms or ammunition is stored on site.

Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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.htmhttp://www.ada.gov/childqanda.htm

In areas evaluated, there was no deficiency cited. The Center is in compliance of under Title 22 Division 12 and Health and Safety Code.


THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL BE ASSESSED.



Web site address to obtain forms, review quarterly updates, review Title 22 & Health & Safety Codes is: https://www.cdss.ca.gov/inforesources/child-care-licensing
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021
LIC809 (FAS) - (06/04)
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