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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566203091
Report Date: 05/18/2023
Date Signed: 05/18/2023 05:05:52 PM

Document Has Been Signed on 05/18/2023 05:05 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:CDR - HUENEME HEAD STARTFACILITY NUMBER:
566203091
ADMINISTRATOR:SUZANNE GODINEZFACILITY TYPE:
850
ADDRESS:500 WEST CLARA STREETTELEPHONE:
(805) 488-2412
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 30DATE:
05/18/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Juana OsioriaTIME COMPLETED:
05:15 PM
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On 5/18/22, at 3:00 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required Inspection the abovementioned Child Care Center (CCC). The LPA met with Juana Osioria, Site Supervisor of the CCC and explained the purpose of the inspection. The LPA, in the company of Site Supervisor, toured the interior and exterior of the CCC. The CCC operates from 7:30 AM to 5:30 PM, Monday - Friday. The preschool uses two classrooms for childcare (Classroom G and Classroom F). LPA observed 30 children on site during the inspection along with five teachers (cleared and associated) providing care and supervision. LPA notes Classroom G operates from 8:00 AM to 2:00 PM.

The classrooms used for childcare are clean and organized. The classrooms have age appropriate toys and furnishings available for children in care. The CCC has carbon monoxide detectors throughout the facility. A carbon monoxide detector was tested in Classroom G at 3:35 PM and found to be operable. The restrooms used for care are in safe and sanitary operating condition. LPA observed an operable refrigerator in the CCC's kitchen which contains food items for the children’s consumption. The CCC provides breakfast, lunch and a PM snack for children. LPA notes there is available bottled drinking water for children both inside the CCC and outside in the play area. Disinfectants, cleaning solutions, sharps and medications in CCC are located in areas (i.e. elevated cabinet, secure cabinets) which are inaccessible to children in care. LPA reviewed licensing required notices and documents posted predominately near the entry of each classroom. The CCC uses an electronic Sign In/Out application. LPA reviewed entries and noted entries contain the arrival and departure times of children in care and as well as notations from authorized representatives.

The CCC's outdoor playground area is enclosed by chain link fencing. The fence's entry/exit gates are secured and the footing in the areas is varied. LPA observed age appropriate toys and play equipment in the play area. The toys and play equipment are in suitable condition and free of sharp, loose or pointed objects. The play structures in the playground area has cushioning materials to absorb falls and an abundance of

(CONT. 809-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 05/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/18/2023
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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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: CDR - HUENEME HEAD START
FACILITY NUMBER: 566203091
VISIT DATE: 05/18/2023
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shade created by a tree and building overhangs. Site Supervisor is reminded to replace toys and play equipment which has degraded and is in in good repair. No bodies of water were observed on site. Waste receptacles with tight fitting covers were observed throughout the CCC.

A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records, among other things. Staff records were reviewed and found to contain current pediatric CPR and First Aid certifications (EMSA approved) as well as Mandated Report certifications, among other things. Site Supervisor informed LPA no firearms or ammunition are stored on the on site



This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

Facility representative 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 Facility representative Juana Osioria.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023
LIC809 (FAS) - (06/04)
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