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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561709978
Report Date: 01/26/2023
Date Signed: 01/26/2023 02:32:44 PM


Document Has Been Signed on 01/26/2023 02:32 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:MOUNT CROSS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
561709978
ADMINISTRATOR:AMY VEGAFACILITY TYPE:
850
ADDRESS:102 CAMINO ESPLENDIDOTELEPHONE:
(805) 482-9706
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY:57CENSUS: 15DATE:
01/26/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Elizabeth FoxTIME COMPLETED:
02:50 PM
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On January 26, 2023 at 1:30 PM, Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced Case Management- Licensee Initiated inspection to add a Toddler Option. LPA met with assistant director Elizabeth Fox and advised her of the reason for the inspection. Together with the assistant director, LPA toured the facility inside and outside. At the time of inspection there were 15 children and 4 staff members present.

The Center submitted an application to add a Toddler Option to the license. The Toddler Room is located next to the restrooms. The room has the capacity of accommodating 8 children at a time. The center has one play yard which they wish to use for toddlers and preschoolers. LPA advised Elizabeth that a waiver is required for the toddlers to use the same play yard as the other children. The center plans on submitting a waiver request for a staggered outdoor play area schedule.

The center has two separate restrooms. In the boys restroom there are 2 sinks, 1 urinal, and 2 stalls available for use. In the girls restroom there are 2 sinks and 3 stalls.

The Ventura County Fire Department granted a fire clearance on 11/8/2022.

Assistant Director was advised the Toddler Program will be pending approval of waiver request.

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 and report was reviewed with assistant director Elizabeth Fox.


SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2023
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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