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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561702676
Report Date: 05/20/2019
Date Signed: 05/21/2019 08:26:45 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:CDI - LA ESCUELITA CHILDREN'S CENTERFACILITY NUMBER:
561702676
ADMINISTRATOR:RACHEL CHAMPAGNEFACILITY TYPE:
850
ADDRESS:1500 CAMINO DEL SOLTELEPHONE:
(805) 483-0139
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY:98CENSUS: 87DATE:
05/20/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:52 AM
MET WITH:Site Supervisor Teresa MartinezTIME COMPLETED:
02:04 PM
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Licensing Program Analyst (LPA) Ana Tolentino made an unannounced CASE MANAGEMENT- INCIDENT inspection to the center. LPA Ana Tolentino met with Director Teresa Martinez and explained the purpose of the visit to follow-up on an incident that was self reported to the department on 4/3/19.

On April 2, 2019, school picture day was scheduled, as three teachers were moving a group of 13 children, three of the children were having challenges in the transition of the group picture. As teacher#1 was redirecting two children, Child#1 ran back inside the classroom and observed the children thru the window. Volunteer#1 (fingerprinted) was entering the classroom to deliver lunch noticed Child#1 sitting in the small couch observing the children thru the window. Volunteer#1 notify Site Supervisor immediately who attempted to have the child walk out for the group picture. Child#1 was refusing to go out and Staff#1 was called to support Child#1 to transition with the rest of the group. Site Supervisor contacted parents and informed them of the incident, parents advised Child#1 did not like taking pictures.

Based of interviews conducted with staff and LPA's review of records, Child#1 did not pose an immediate health or safety risk.

Based on staffs immediate response, the following Type C technical violation advisory was noted: 101229 Responsibility for Providing Care and Supervision. See the LIC 9102 for advisory cited.

FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100 CIVIL PENALTY.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Ana TolentinoTELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019
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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