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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561700254
Report Date: 06/22/2021
Date Signed: 06/22/2021 10:39:52 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:MONTE VISTA PRESBYTERIAN PRE SCHOOLFACILITY NUMBER:
561700254
ADMINISTRATOR:JENNIFER REESEFACILITY TYPE:
850
ADDRESS:3797 WEST LYNN RD.TELEPHONE:
(805) 499-6610
CITY:NEWBURY PARKSTATE: CAZIP CODE:
91320
CAPACITY:54CENSUS: 33DATE:
06/22/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Melissa ClarkTIME COMPLETED:
10:50 AM
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On June 22, 2021 at 9:22 AM, Licensing Program Analysts (LPAs) Francisco Pedroza and Austin Rios conducted an unannounced Annual/Random inspection. LPAs met with facility Director Melissa Clark and explained the purpose of the inspection. Director provided LPAs a tour of the facility inside and out. The facility currently had 33 children in care at the time of the inspection.

Licensing required notices were posted prominently on the wall at the entrance of the facility. The preschool is currently using three of the five classrooms for care during their Summer program. The facility has two restrooms with two toilets/sinks in each readily available for children to use. LPAs did not observe any toxins/hazardous items accessible to children. The classrooms have age appropriate toys and furniture available for children. LPAs observed medications for children properly secured. The center provides one snack daily for the Summer program. During the regular school year they provide two snacks and children bring lunches from home. The outdoor playground has age appropriate toys and equipment. The playground has an ample amount of shade available. The center has water available for children inside and out.

Continued on 809C.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: MONTE VISTA PRESBYTERIAN PRE SCHOOL
FACILITY NUMBER: 561700254
VISIT DATE: 06/22/2021
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Center uses the electronic application ProCare. A sampling of children and staff records were reviewed. Teachers have required qualifications. Teachers present have current Pediatric First Aid/CPR certificates that expire on 11/9/2021. Teachers present have current AB 1207 Mandated Reporter Training certificates that expire on 6/15/2023. LPAs verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements. Facility is follow current Covid-19 guidelines.

Incidental Medical Services (IMS) policy was discussed and currently the center does have children with IMS. Plan of Operations on file. 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: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021
LIC809 (FAS) - (06/04)
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