561702079-7-20-2022-17-CC-GRES-CGHSNB-20220720140117

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 561702079
Report Date: 07/20/2022
Date Signed: 07/20/2022 02:01:35 PM

Document Has Been Signed on 07/20/2022 02:01 PM - It Cannot Be Edited

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:	TLC PRESCHOOL		FACILITY NUMBER:	561702079
ADMINISTRATOR:	MELANIE AUSTIN		FACILITY TYPE:	850
ADDRESS:	196 NO. ASHWOOD AVE.		TELEPHONE:	(805) 644-7099
CITY:	VENTURA	STATE: CA	ZIP CODE:	93003
CAPACITY:	72	CENSUS: 19	DATE:	07/20/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Melanie Austin		TIME COMPLETED:	02:02 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On July 20, 2022, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced 1 Year Required Inspection and met with Director Ms. Melanie Austin. LPA explained the purpose of the inspection. Prior to inspection LPA asked screening questions related to COVID -19 and responses indicate there are no COVID-19 exposure on site. The Child Care Center (CCC) is located in the ground to Trinity Lutheran Church. Currently the CCC operates the Summer Program which commenced on June 27, 2022 ends on July 22, 2022, Monday to Friday 8:30 AM to 12:30 PM. The CCC resumes its regular operation on August 30, 2022. LPA in the company of Ms. Austin toured the Child Care Center inside and out. There were 19 day care children and 5 staff present including the Director. The CCC was licensed to use 4 classrooms, during summer program only the Butterfly classroom is being used. Licensing required forms are posted in each classroom and in front of the building common area. The outdoor playground is enclosed with the vinyl fence, It has age appropriate toys and equipment. The playground has an ample amount of wood chip cushioning, there is sufficient shade for children's outdoor play. The CCC has drinking water available for children inside and out. Center conducts fire and disaster drill every month. Center uses individual sign-in/out sheet for each child which was found in compliance. A sampling of children and staff records were reviewed. Staff qualifications and requirements were reviewed and verified. Teachers present have current Pediatric First Aid/CPR certificates that expire on 3/9/2023 LPA verified SB 792 Child Care Adult Immunization record and tuberculosis requirements. All staff members renewed the Mandated Reporter Training which expires on 2/15/2024 Continued on LIC 809C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2022

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: TLC PRESCHOOL	FACILITY NUMBER: 561702079
	VISIT DATE: 07/20/2022

NARRATIVE

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No deficiencies were cited during today's visit.

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

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.

Director 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.

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

Exit interview conducted and report was reviewed with the Director, Melanie Austin

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2022

LIC809 (FAS) - (06/04)

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