561711001-9-12-2024-17-CC-VDIZ-D92PVD-20240912113858

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 561711001
Report Date: 09/12/2024
Date Signed: 09/12/2024 11:39:02 AM

Document Has Been Signed on 09/12/2024 11:39 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 - SANTA PAULA HEAD START		FACILITY NUMBER:	561711001
ADMINISTRATOR:	SUZANNE GODINEZ		FACILITY TYPE:	850
ADDRESS:	1400 E. HARVARD BLVD		TELEPHONE:	(805) 525-9516
CITY:	SANTA PAULA	STATE: CA	ZIP CODE:	93060
CAPACITY:	32	CENSUS:	DATE:	09/12/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Rebeca Fernandez		TIME COMPLETED:	11:50 AM

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 09/12/24, Licensing Program Analyst (LPAs) Veronica Diaz and Matthew Sapien conducted an unannounced Required-3 Year inspection. LPAs met with Site Supervisor Rebeca Fernandez and advised them of the purpose of the inspection. site supervisor provided LPAs a tour of the facility inside and out. There were 16 children in care at the time of the inspection along with 4 staff. Center operates M-F 8:00AM- 2:00PM. LPAs observed required licensing documents mounted on the walls throughout the facility. Last fire drill was conducted on 08/28/24 . Each of the classrooms have 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. First Aid kits were observed in the classroom. Currently the facility uses an App called ChildPlus for sign-in and sign-out. Teachers use verbal and text for pictures and a form of communication to parents. Facility provides breakfast, lunch and afternoon snacks. LPAs observed the kitchen to be clean. The outdoor playground is shaded and has an ample amount of space for children to play. LPAs observed the playground has age-appropriate toys and structures available for children to use. A sampling of children and staff records were reviewed. LPAs observed children's files to be complete and current. Staff mandated reporter certification are all current. LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements. Continued on 809-C

SUPERVISOR'S NAME: Lissete Gonzalez	TELEPHONE: (805) -56-0400
LICENSING EVALUATOR NAME: Veronica Diaz	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024

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 - SANTA PAULA HEAD START	FACILITY NUMBER: 561711001
	VISIT DATE: 09/12/2024

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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. The center at this time has no IMS. 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/.

Site Supervisor was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the Site Supervisor Rebeca Fernandez.
No deficiencies were cited.

SUPERVISOR'S NAME: Lissete Gonzalez	TELEPHONE: (805) -56-0400
LICENSING EVALUATOR NAME: Veronica Diaz	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024

LIC809 (FAS) - (06/04)

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