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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561700111
Report Date: 05/14/2019
Date Signed: 05/14/2019 03:34:40 PM

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:FIRST BAPTIST CHURCH DAY NURSERYFACILITY NUMBER:
561700111
ADMINISTRATOR:DENISE ADKINSFACILITY TYPE:
850
ADDRESS:936 W 5TH STTELEPHONE:
(805) 487-1908
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY:66CENSUS: 17DATE:
05/14/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Director Denise AdkinsTIME COMPLETED:
03:44 PM
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Licensing Program Analyst (LPA) Ana Tolentino made an unannounced visit for the purpose of conducting an Annual Random Inspection. LPA explained the purpose of the inspection to Director Denise Adkins and together we tour indoor and outdoor space. The center operates in four classrooms from 7:00 AM to 6:00 PM, Monday thru Friday.

Center uses four classrooms and the outside activity areas for day-care. Children observed to be supervised by qualified staff. LPA did not observe any toxins/hazardous items accessible to children. LPA reviewed the posted snack menu, children bring their own lunch. Kitchen, food preparation, storage area are kept clean, free of litter. Furniture and equipment is in good repair and age appropriate. The outdoor playground has age appropriate toys and equipment. The areas around high climbing equipment have cushioned material to absorb any falls. Toilets and hand washing are in sanitary condition. Trash cans have tight fitting covers. Drinking water is available both inside and outside. Sign in/Sign out records were reviewed and meet regulation requirements and matched census. A sampling of children and staff records were reviewed. Teachers have required qualification. Teachers present have current First Aid/CPR certificates. LPA verified SB 792 Child Care Adult Immunization and AB 1207 Mandated Reporter Training.

Incidental Medical Services (IMS) The center currently does not have children with IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 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 (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.

No deficiencies were cited during today's visit.

The LIC 9213 (Notice of Site Visit) was posted during the visit
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Ana TolentinoTELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2019
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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