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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444400154
Report Date: 07/10/2019
Date Signed: 07/10/2019 12:25:01 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:CALABASAS INFANT MIGRANT & SEASONAL HEAD STARTFACILITY NUMBER:
444400154
ADMINISTRATOR:ANGELICA RENTERIAFACILITY TYPE:
830
ADDRESS:202 CALABASAS ROADTELEPHONE:
(831) 761-6185
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:16CENSUS: 16DATE:
07/10/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Maria RochaTIME COMPLETED:
12:37 PM
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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 16 infants/toddlers and 5 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. Staff files were reviewed & all staff are qualified Infant Teachers. Several Teachers have current pediatric 1st aid/CPR. Teacher/infant ratio was met during the visit. A sampling of children's files were reviewed & are complete. Needs & Services plans are up to date. 1st aid supplies are complete. This facility provides Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment /supplies, and reviewed children’s, personnel and administrative records. Changing tables are within arms reach of a sink, have raised sides & a vinyl pad. Changing tables have spray bottles with disinfectant solution. Younger infants nap in cribs. Older infants nap on cots. Infants have age appropriate toys/equipment including feeding chairs. Bottles & food for infants are labeled. Drinking water is provided by cups/water fountain for older infants. Center provides breakfast, snacks & lunch and formula for all infants. 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. All infants were visually supervised during the visit. Infant/toddler playgrounds have rubber matting & grass areas, sand box. Shades provided by trees and large canopies. Sign in and out sheets were review. Effect of lead exposure poster was provided to licensee and for their information and to share with children. Discussed also was safe sleep.
No deficiency cited today.
NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS.
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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