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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561701617
Report Date: 10/02/2024
Date Signed: 10/02/2024 10:34:23 AM


Document Has Been Signed on 10/02/2024 10:34 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:CDR - COLONIA HEAD STARTFACILITY NUMBER:
561701617
ADMINISTRATOR:SUZANNE GODINEZFACILITY TYPE:
850
ADDRESS:1500 COLONIA ROADTELEPHONE:
(805) 486-0850
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY:30CENSUS: 27DATE:
10/02/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maricela LeonTIME COMPLETED:
11:05 AM
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On October 2, 2024 at 09:00 AM, Licensing Program Analyst (LPA) Aaliyah Zendejas conducted an unannounced Required 3 Year Inspection. LPA met with site supervisor (S1) Maricela Leon and announced the purpose of the inspection. S1 provided LPA with a tour of the interior and exterior of the facility. At the time of the inspection there were 27 children under the care and supervision of 6 staff members. This facility is currently using two classrooms, two bathrooms, and an enclosed outdoor play area for children in care.


LPA observed required licensing documents mounted on the walls upon entering facility. Last fire drill was conducted on September 23, 2024. The classroom had age-appropriate toys and furniture readily accessible for children in care. LPA observed enough restrooms available for children to use. LPA did not observe any hazards/toxins items accessible to children. A First Aid kit was observed mounted to the wall in the classrooms within the facility. Facility provides food for the children in care, and LPA noticed food properly stored in the kitchen. Menus were posted in the classroom. The outdoor playground has shaded areas for children in care and has an ample amount of space for children to play. LPA observed the playground has age-appropriate toys and structures available for children to use. S1 stated that children get water from filtered water dispensers that are in the classrooms. LPA observed a carbon monoxide detector within the classroom.

A sampling of children and staff records were reviewed. LPA reviewed 4 children's files and observed children's files to be complete and current. Currently the facility does not have children that require Incidental Medical services (IMS). LPA observed staff files to be complete and current. Staff present has current CPR with an expiration date of 01/27/2026. All Staff present have current mandated reporter training certification. LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements for all staff.
SUPERVISOR'S NAME: Lissete GonzalezTELEPHONE: (805) -56-0400
LICENSING EVALUATOR NAME: Aaliyah ZendejasTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:
DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/02/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CDR - COLONIA HEAD START
FACILITY NUMBER: 561701617
VISIT DATE: 10/02/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.



No deficiencies were cited.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted, appeal rights were given, and report was reviewed with Site Supervisor Maricela Leon

SUPERVISOR'S NAME: Lissete GonzalezTELEPHONE: (805) -56-0400
LICENSING EVALUATOR NAME: Aaliyah ZendejasTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024
LIC809 (FAS) - (06/04)
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