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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566203310
Report Date: 02/13/2020
Date Signed: 02/13/2020 02:11:52 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:VUSD - ATLAS JUMPSTART PRESCHOOLFACILITY NUMBER:
566203310
ADMINISTRATOR:RUTH VALENCIAFACILITY TYPE:
850
ADDRESS:760 JAZMIN AVE.TELEPHONE:
(805) 672-2701
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY:48CENSUS: 28DATE:
02/13/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Susan Rosas-OrdunaTIME COMPLETED:
02:15 PM
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On 02/13/2020 at 1:00pm, Licensing Program Analyst (LPA) Christian Patterson made an unannounced inspection to the facility in order to conduct a Required 1-year inspection. LPA met with Site Supervisor Susan Rosas-Orduna and explained the purpose of the inspection. The facility is located on the grounds of ATLAS Elementary School in Rooms 29 and 30. There were 18 children present with three teachers in Room 29 and 10 children with two teachers present in Room 30. The facility operates Monday-Friday from 8:00am-2:45pm. A tour of the facility was made both inside and outside. The classrooms were observed to have age appropriate furniture/equipment. The restrooms were observed to be clean and free of toxins. There is a functioning smoke/carbon monoxide detector in each classroom. All required State forms and daily menu were posted. The outdoor play area is completely fenced. LPA observed age appropriate equipment. Drinking water is available inside and outside.

Teacher files reviewed and were found to be complete. Teacher's Medical Health Records were verified. At least one teacher in each classroom has valid Pediatric CPR/First Aid which expires on 12/06/2020. Center staff have completed AB1207 Mandated Reporter Training. Sign in and sign out verified and matched census. Children's files were reviewed and found to be complete. Each child’s admission agreement was found to be complete and available for review.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020
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: VUSD - ATLAS JUMPSTART PRESCHOOL
FACILITY NUMBER: 566203310
VISIT DATE: 02/13/2020
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Site Supervisor is reminded that they are responsible for knowing the regulations for a Child Care Center and that Licensing information can be accessed online at www.ccld.ca.gov. LPA reviewed and provided Director with Infant Safe Sleep and Effects of Lead Exposure Brochures


There were no deficiencies cited today. The LIC 9213 (Notice of Site Visit) was posted in LPA's presence.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020
LIC809 (FAS) - (06/04)
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