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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561700375
Report Date: 12/03/2019
Date Signed: 12/03/2019 12:37:47 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:ST COLUMBA'S CHILDREN'S LEARNING CENTERFACILITY NUMBER:
561700375
ADMINISTRATOR:REBECCA MENDOZAFACILITY TYPE:
850
ADDRESS:1251 LAS POSAS RD.TELEPHONE:
(805) 484-0022
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY:74CENSUS: 64DATE:
12/03/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Rebecca MendozaTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Laura Villanueva made an unannounced site visit for the purpose of conducting an Annual Random inspection. The purpose of the visit was discussed with Director, Rebecca Mendoza. The center currently operates in 4 classrooms from 7:00 AM to 6:00 PM, Monday thru Friday. A tour of the indoor and outdoor space was conducted.

The classrooms were found clean, organized with age appropriate toys, games books, cubbies, tables and chairs. The restrooms were found clean and free of toxins. There are functioning carbon monoxide detectors in each classroom that meet requirements. All required State forms were posted. Menu was posted. The center provides a morning and an afternoon snack. The outdoor play area is completely fenced and LPA observed age appropriate toys, games, tricycles, shade areas, sand box area, and grass area. Drinking water is available inside and outside through water bottles. Teacher files reviewed and were found complete with State required forms. Teacher's Medical Health Record verified. Teachers are current with CPR and First Aid which expires 11/01/20. Children's files reviewed.

This facility currently provides Incidental Medical Services (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 WILL BE 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: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019
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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