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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444400148
Report Date: 07/10/2019
Date Signed: 07/10/2019 11:28:24 AM

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:CALABASAS PRESCHOOL MIGRANT & SEASONAL HEAD STARTFACILITY NUMBER:
444400148
ADMINISTRATOR:ANGELICA RENTERIAFACILITY TYPE:
850
ADDRESS:202 CALABASAS RD.TELEPHONE:
(831) 786-1870
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:23CENSUS: 22DATE:
07/10/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Maria RochaTIME COMPLETED:
10:25 AM
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An Unannounced random visit made by Analyst Mahvash Behbood. Met Site Director Maria Alvarez. Maria Rocha, Health Services Supervisor arrived during visit. present also were 22 preschooler and 4 staff. Operation is seasonal from May to Oct yearly. During the season, operation hours is M-F from 6 AM to 6 PM. Indoor and outdoor of the facility was toured.
Clearances for individuals at this facility who require caregiver background checks are issued by State Department and/or County Office of Education and do not come under the jurisdiction of Community Care Licensing Division.
Menu, licenses, Personal Rights, Car Seat Poster & Parent's Rights are all posted. LPA reviewed samples of children's file and sign in and out sheets during today's visit. LPA observed that all children were properly signed in and out (legal signature & time of day) by a parent or authorized representative. Each child's file reviewed contains Emergency Information form and a copy of the admission agreement. Several staff have current CPR and First Aid certifications and proof of immunization on file. Staff files have copies of their educational background. Teacher/children ratio was met during the visit.
Furniture & equipment appear in good condition. Floors appear clean. Children's bathrooms are in operation. Playground has climbing structures, swing, sand boxes, etc. Wood chip and rubber mats are used for cushioning material. Shades provided via trees, and large canopies. Drinking water inside the classrooms and in the playground are provided via water fountains. Center provides breakfast, 2 snacks & lunch. The menu is posted & has the required food groups. Kitchen appears clean. All food is covered & there is a trash can with a tight-fitting cover. Meals delivers daily from PVUSD Food-Nutrition Services' main kitchen. children were visually supervised.
Effect of lead exposure poster was provided to licensee and for their information and to share with children. Discussed also was safe sleep.
No citation noted during today's visit.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Mahvash BehboodTELEPHONE: (408) 334-8552
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019
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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