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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561702446
Report Date: 05/02/2019
Date Signed: 05/02/2019 12:10:54 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:NOAH'S ARK CHRISTIAN PRESCHOOL & CHILD CARE CENTEFACILITY NUMBER:
561702446
ADMINISTRATOR:MONICA HAYESFACILITY TYPE:
850
ADDRESS:120 CHURCH ROADTELEPHONE:
(805) 646-8745
CITY:OJAISTATE: CAZIP CODE:
93023
CAPACITY:84CENSUS: 59DATE:
05/02/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Monica HayesTIME COMPLETED:
11:00 AM
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Licensing Program Analysts, (LPAs) Jill Laxo and Ana Tolentino conducted an unannounced annual/random inspection and met with Director Monica Hayes. The center was toured inside and out. There were 11 teachers supervising 59 children in classrooms and outdoor play areas. Bathrooms were in safe and sanitary condition and free of hazards. Classrooms were adequately equipped with age and size appropriate furniture and equipment was in good condition. Food is not prepared on-site, children bring in their lunch and snack. Disinfectants and cleaning supplies were not accessible to children. Drinking water was readily available both indoors and out. Playground was enclosed with equipment in safe condition including cushioning material and was free of hazards. There were no bodies of water. Director stated there are no guns nor ammunition in the center.

Personnel records were viewed and contained documents for education, AB 1207, CPR/First Aid expires 08/15/2020, and criminal background clearance. Children records contained authorized representative contact information.

Incidental Medical Services (IMS) services are provided for children in care. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers. 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: http://www.ada.gov/childqanda.html

A Guide to Safe Sleep and Effects of Lead Exposure brochures were provided.
No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019
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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