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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444400154
Report Date: 05/23/2024
Date Signed: 05/23/2024 01:36:56 PM

Document Has Been Signed on 05/23/2024 01:36 PM - It Cannot Be Edited

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/
DIRECTOR:		ANGELICA RENTERIAFACILITY TYPE:
830
ADDRESS:202 CALABASAS ROADTELEPHONE:
(831) 761-6185
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 13DATE:
05/23/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Maria Yuriana Alvarez & Maria CortesTIME VISIT/
INSPECTION COMPLETED:
01:46 PM
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Licensing Program Analyst (LPA), Cortney Nelson, met with Site Supervisor, Maria Yuriana Alvarez, for an Annual/Random inspection. LPA was granted access to the facility by the Site Supervisor and toured both indoors and outdoors during the inspection. Maria Cortes, Child Development Coordinator, arrived approximately one hour after LPAs arrival. The facility is located at Calabasas Elementary School. Upon arrival, there were thirteen (13) infants and four (4) staff present, which is compliant with the facility license capacity and ratio requirements. LPA observed all required postings near the entrance to the facility and the hours of operation are Monday – Friday, 6:00AM-6:00PM.

LPA reviewed sign-in/out sheets, facility roster (LIC9040), and fire/disaster drill log during today’s inspection. The last fire drill was conducted on 5/14/2024, which is compliant with the six-month requirement for facilities. LPA observed a fully charged 3A40BC fire extinguisher (last serviced: 5/2024), functioning smoke detector and carbon monoxide detector. Maria states that she does not currently have any children in care who require Incidental Medical Services and does not administer medication at this time. There are no weapons or firearms on the premises.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual- Regulation Interpretations and Procedures for Child Care Centers, Section 101173 and 101226. 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 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
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE: DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/23/2024
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: CALABASAS INFANT MIGRANT & SEASONAL HEAD START
FACILITY NUMBER: 444400154
VISIT DATE: 05/23/2024
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Indoor areas of the facility were inspected by the LPA today and observed to be clean, orderly, and safe for day care infants. The infant room is physically separate from the preschool component. LPA observed sufficient age-appropriate materials, toys, and play equipment in the facility. Toys are safe and do not have sharp edges or small parts that may pose a choking hazard. Infant changing table was observed to be padded, within arms reach of a sink, in good repair and safe condition. Cribs used by the infants are free from loose articles, covered with a fitted sheet, and there are no objects hanging above or attached to the crib. The floors are clean and free of tripping hazards and waste containers have tight fitting lids.

All infants have current Needs and Services plan that has been updated quarterly. Feeding plan is current for all infants and Licensee understands that all formula and bottles provided should be labeled individually with the child’s name and the date.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

The outdoor area was inspected and observed to be fenced in and physically separated from space utilized by the preschool component. There are two playgrounds, a sandbox, riding bikes, and three functioning sinks for use while outside. LPA observed play equipment was in good condition, age-appropriate, and has sufficient resilient materials (rubber padding/turf) to absorb falls. No outdoor bodies of water were observed during today’s inspection. Shaded rest area is provided by standing canopy structures.

Five (5) children files and five (5) staff files were reviewed and all required documents were present. All staff members have proof of current child development permit issued by the California Commission on Teacher Credentialing. The Site Supervisor has current CPR/First-Aid that expires 3/6/2025 and current Mandated Reporter Training that expires 7/7/2024. LPA reminded that the Mandated Reporter Training must be renewed by all staff every 2 years.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: CALABASAS INFANT MIGRANT & SEASONAL HEAD START
FACILITY NUMBER: 444400154
VISIT DATE: 05/23/2024
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Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. The facility conducted water lead testing on 6/14/2023 and no action level exceedances were observed.

Exit interview conducted and report was reviewed with the Child Development Coordinator, Maria Cortes.

As a result of today’s inspection, no deficiencies were cited.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
LIC809 (FAS) - (06/04)
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