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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215763
Report Date: 06/03/2019
Date Signed: 06/14/2019 11:43:58 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:LOMPOC VALLEY CHILDREN'S CENTER LAB SCHOOLFACILITY NUMBER:
426215763
ADMINISTRATOR:M. RAMOS & Y. FRAZIERFACILITY TYPE:
850
ADDRESS:ONE HANCOCK DRIVE, BLDG.2-122TELEPHONE:
(805) 735-3366
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:28CENSUS: 0DATE:
06/03/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Yvonne Frazier and Anakela FrancisoTIME COMPLETED:
01:10 PM
NARRATIVE
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A prelicensing visit was conducted by LPA S. Mendoza-Ceja who met with the Project Director Yvonne Frazier and Anakela Franciso. The center was toured inside and outside. The preschool/toddler program will be operating on the Allan Hancock College Campus in Building 2, classroom 122. LPA observed the classroom to have separate areas for the preschoolers and toddlers. LPA measured and evaluated the classroom areas and the designated temporary outdoor playground area. LPA was advised the permanent playground will be under renovation. LPA discussed medications which will be stored inaccessible to children, including Incidental Medical Services. LPA reviewed the handouts "Child Care Provider's Guide to Safe Sleep, Safe Seep in Child Care, and Effects of Lead Exposure" and provided copies. LPA discussed SB 792 the requirement for care providers/employees, including volunteers to obtain immunization against Influenza, Pertussis, and Measles.

Preschool Area
Indoor Square Footage meets the requirement for 18 preschoolers.
Two toilets meets the requirement for 18 preschoolers.
Two sinks meets the requirement for 18 preschoolers.
Drinking fountain available indoors.
The outdoor square footage meets the requirement for 18 preschoolers.

Toddler Area
Indoor Square Footage meets the requirement for 8 toddlers.
One sink which meets the requirement for 8 toddlers.
Drinking fountain available indoors.

Review of the indoor/outdoor square footage, toilets, the program will meet the requirement for and 18 preschool children and 8 toddlers.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2019
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: LOMPOC VALLEY CHILDREN'S CENTER LAB SCHOOL
FACILITY NUMBER: 426215763
VISIT DATE: 06/03/2019
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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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.htm

Prior to licensure the following will need to be completed:


1. Obtain potty chairs for toddler program.
2. Secure the temporary fencing for the playground area and organize the playground for young children.
3. An approved Fire Clearance received by the Department.

The "Notice of Site Visit was posted" at the 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: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2019
LIC809 (FAS) - (06/04)
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