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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561700111
Report Date: 09/23/2021
Date Signed: 09/23/2021 10:28:32 AM

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: 9DATE:
09/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Denise AdkinsTIME COMPLETED:
10:38 AM
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On September 23, 2021 at 8:50 AM, Licensing Program Analyst (LPA) Austin Rios conducted a Required Annual inspection. LPA met with director Denise Adkins and explained the purpose of the inspection. LPA asked Covid-19 screening questions prior to entering the facility. LPA conducted a tour of the facility inside and out. There were nine children in care at the time of the inspection and three staff. The center operates from 7:30 AM to 5::30 PM and is open Monday thru Friday.

Licensing required notices were posted prominently at the entrance. The facility has four classrooms and two are being used currently. Bathrooms and sinks were observed to be clean and free of toxins. Each classroom has their own bathroom that they use with one toilet and one sink. There is water inside and outside for the children to have access too. The outdoor playground is completely enclosed by a concrete wall and has rubber wood chips for cushioning. The playground has an ample amount of shade available and age appropriate toys/equipment. LPA did not observe any toxins/hazardous items accessible to children. The classrooms have age appropriate toys and furniture available for children. There is a functioning carbon monoxide detector that meets statutory requirement. LPA observed and reviewed the posted snack menu. The center provides morning and afternoon snack and children bring their own lunch from home.

Center uses electronic sign in sheet called Brightwheel



Continued on 809-C
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: FIRST BAPTIST CHURCH DAY NURSERY
FACILITY NUMBER: 561700111
VISIT DATE: 09/23/2021
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A sampling of children and staff records were reviewed and found complete. Teachers present have current Pediatric First Aid/CPR certificates that expire on 8-30-2023. Teachers present have current AB 1207 Mandated Reporter Training certificates that expire on 9/15/2022.

Incidental Medical Services (IMS) policy was discussed and currently the center 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 NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
LIC809 (FAS) - (06/04)
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