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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561700290
Report Date: 09/03/2019
Date Signed: 09/03/2019 12:31:52 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:OUR REDEEMER PRESCHOOLFACILITY NUMBER:
561700290
ADMINISTRATOR:VEGA, AMYFACILITY TYPE:
850
ADDRESS:721 DORIS AVENUETELEPHONE:
(805) 983-0619
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY:84CENSUS: 93DATE:
09/03/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Kerry RomanTIME COMPLETED:
12:50 PM
NARRATIVE
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Licensing Program Analysts (LPA)Michael Avila and Betsy Cervantes made an unannouncecd visit for the purpose of conducting a Case Management inspection visit. LPA's Avila and Cervantes met with the Director Kerry Roman and discussed the nature and purpose of the visit.

On the morning of 8/29/2019 at/or around 8:20 am a child (C1) was discovered hiding alone in an unsecured storage shed on the play ground. A parent (P1) who was dropping off her own child (C2), discovered the child (C1) peering out her head from the storage shed when she realized the child was left unattended on the playground. LPA Avila and Cervantes reviewed video surveillance which recorded the incident and noted the time the child hid in the storage shed at 8:17am and was discovered by the parent at 8:20am. LPA Avila and Cervantes determined the child was without visual supervision for approximately 3 minutes.

The facility is being cited for the following C.C.R., Div. 12, Title 22 regulation deficiency: 101229 Responsibility for providing Care and Supervision. Given this is a repeat violation for the same deficiency citation issued on 8/28/2019, a civil penalty of $1,000 was also assessed on Licensee for Absence of Supervision.

Licensee was provided with a copy of appeal rights. This report must be posted for 30 days. Licensee is to provide a copy of this report to each parent/legal guardian of every child for the next 12 months. Every parent/guardian must sign a LIC 9224 "Acknowledgment of Licensing Reports" and place a copy of this document in each child's file for the next 12 months.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2019
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/03/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/03/2019
Section Cited

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Responsibility for Providing Care and Supervision states: No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

This regulation was not met as evident on
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08/29/2019 a child (C1) was discovered hiding inside an unsecured storage shed on the playgrond by a parent who just had dropped off her own child. Staff was not aware the child was missing from their group. This posed an immediate danger and potential risk of harm to the heath and safety of children in care
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:
DATE: 09/03/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/03/2019
LIC809 (FAS) - (06/04)
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