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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561701236
Report Date: 02/25/2020
Date Signed: 02/25/2020 12:48:51 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:FIRST UNITED METHODIST PRESCHOOL & CHILD CARE C.FACILITY NUMBER:
561701236
ADMINISTRATOR:AUTUMN MCGUIREFACILITY TYPE:
850
ADDRESS:1338 EAST SANTA CLARA STREETTELEPHONE:
(805) 653-5304
CITY:VENTURASTATE: CAZIP CODE:
93001
CAPACITY:61CENSUS: 34DATE:
02/25/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:Autumn McGuireTIME COMPLETED:
10:46 AM
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On 02/25/2020, at 9:46 a.m. Licensing Program Analyst, (LPA) Jill Laxo conducted an unannounced annual inspection and met with Director Autumn McGuire. The purpose of the inspection was discussed with the director and together the center was toured inside and out. Sign in/out sheets were reviewed and found complete with signatures and time of arrival for all children in care. There were five teachers supervising 34 children. The program utilizes four classrooms and two outdoor play areas. Bathrooms are in safe and sanitary operating condition. Classrooms floors are clean and safe. Individual classrooms are adequately equipped with age and size appropriate furniture and equipment is in good condition. There are no medications administered at this time. All storage containers for solid waste have tight fitting lids. Snack menus were posted. Disinfectants and cleaning supplies are not accessible to children. Drinking water is readily available both indoors and out. Playground is enclosed with equipment in safe condition including cushioning material and is free of hazards. There are no bodies of water. Director stated there are no guns nor ammunition on the premises.

Children records were reviewed and contained child authorized representative information, emergency contacts and medical assessment.

Personnel records were reviewed and contained documents for education, AB 1207, CPR/Pediatric First Aid expires 01/2022, and health screening.

Continued on 809-C
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020
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 UNITED METHODIST PRESCHOOL & CHILD CARE C.
FACILITY NUMBER: 561701236
VISIT DATE: 02/25/2020
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Incidental Medical Services (IMS) policy was discussed. 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

Lead Exposure brochures were provided.


No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020
LIC809 (FAS) - (06/04)
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