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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 440703702
Report Date: 12/18/2019
Date Signed: 12/18/2019 03:50:29 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:WATSONVILLE CHILDREN'S CENTERFACILITY NUMBER:
440703702
ADMINISTRATOR:K.LATHROP/C.GUTIERREZFACILITY TYPE:
850
ADDRESS:32 MADISON STREETTELEPHONE:
(831) 728-6280
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:90CENSUS: 45DATE:
12/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Kathy LathropTIME COMPLETED:
03:57 PM
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Licensing Program Analyst (LPA), Behbood, conducted an unannounced random visit to the Facility today. LPA Kathy Lathrop, Department Director. The purpose of the visit explained. LPA toured both classrooms and playground. Classroom 1 & 2 are full day program that operates form 8:00 to 5:00) and Classroom 3 has AM (8:30 to 11:30) and PM Program (12:15 to 3:15).
LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), Menus (includes current and following week), and Activity Schedule.
Staff are finger printed through Pajaro School District.
LPA reviewed sample of children's file they contain Emergency Information form (LIC 700) and medical consent form. LPA observed that all children were properly signed in and out (legal signature & time of day) by a parent or authorized representative. Several staff have current CPR and First Aid certifications and proof of immunization on file . Staff files reviewed have copies of their educational background, proof of immunization. All staff have completed the Mandated Child Abuse Reporter
Furniture & equipment appear in good condition. Floors appear clean. Children's bathrooms are in operating condition. Preschool refrigerator appears clean & all food is covered. Trash can for food waste has a tight fitting cover. Menu is posted. Title 5 ratio was met.. No bodies of water observed. Cleaning supplies are stored inaccessible to children.
Playground has climbing structures, sand boxes, etc. tan bark used for cushioning material.
Drinking water inside the classrooms and in the play ground are provided via water fountain
Medications for children are in the original prescription container accompanied by all required forms & stored inaccessible to children.
No citation issued during today's visit.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Mahvash BehboodTELEPHONE: (408) 334-8552
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019
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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