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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561700290
Report Date: 07/03/2019
Date Signed: 07/03/2019 11:54:47 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:OUR REDEEMER PRESCHOOLFACILITY NUMBER:
561700290
ADMINISTRATOR:VEGA, AMYFACILITY TYPE:
850
ADDRESS:721 DORIS AVENUETELEPHONE:
(805) 983-0619
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY:84CENSUS: DATE:
07/03/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Kerry RomanTIME COMPLETED:
12:05 PM
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Licensing Program Analyst (LPA) Francisco Pedroza made an unannounced inspection for the purpose of conducting a Case Management - Incident to follow up on Licensee's self report of two children leaving the facility unattended. LPA met with Interim Kerry Roman and discussed the nature and purpose of the visit. LPA Pedroza and Director Roman toured the facility inside and out.

On 5/02/2019, at around 4:10 PM, facility staff S1 clocked out for the end of her shift. When she exited the facility, she observed Child 1 (C1) and Child 2 (C2) outside in the front of the facility unattended. She recognized the two children and escorted them back to the facility. The children were then returned by to their classroom and their parents were notified.

LPA Pedroza, Director Roman, and staff attempted to review the video the incident that occurred on 05/02/2019. It was later determined that the facility recording dates are only available for about one month. After that duration of time video surveillance is replaced with a new current recording. Director Roman did have some of the video recordings saved on her phone that were forwarded to her from the previous Director S2. The videos were recorded from a cell phone camera it appears. Continued on 809-C
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019
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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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: OUR REDEEMER PRESCHOOL
FACILITY NUMBER: 561700290
VISIT DATE: 07/03/2019
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LPA Pedroza reviewed the videos provided. LPA observed that prior to C1 and C2 leaving the facility, about 17 individuals including the children were in the front office/lobby of the facility. The individuals consisted of parents, children, and staff. Parents were leaving with children and the door was being held for the other children and parents leaving. LPA observed C1 and C2 walk out in front of one parent exiting the facility. There was no video footage available showing S1 escorting the children back into the facility. According to Director Kerry, it was determined when the facility staff watched the video that the children were unattended for about two minutes.

Based on the information provided by the Director, there is insufficient information available at this time. The incident needs further investigation.

No deficiencies were issued today during this case management 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: 07/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019
LIC809 (FAS) - (06/04)
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