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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566203310
Report Date: 10/13/2021
Date Signed: 10/13/2021 11:08:13 AM

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: 18DATE:
10/13/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Susan RosasTIME COMPLETED:
11:16 AM
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On October 13, 2021 at 9:20 AM, Licensing Program Analyst (LPA) Austin Rios conducted a Required Annual inspection. LPA met with Site leader Susan Rosas and explained the purpose of the inspection. LPA asked Covid-19 screening questions prior to entering the facility.The facility is located on the grounds of ATLAS Elementary School in Room 29. LPA conducted a tour of the facility inside and out. There were 18 children in care at the time of the inspection and three staff. The center operates from 8:15 AM to 3:00 PM and is open Monday thru Friday.

Licensing required notices were posted prominently on the wall in the entrance of the classroom. The facility currently uses one classroom. Bathroom was observed to be clean and free of toxins. There is water inside and outside for the children to have access too. Currently children are bringing their own water from home. The outdoor playground is completely enclosed by a fence. The playground has an ample amount of shade available and age appropriate toys/equipment. LPA did not observe any toxins/hazardous items accessible to children. The classroom has age appropriate toys and furniture available for children. There is a functioning carbon monoxide detector that meets statutory requirement. LPA observed and reviewed the posted lunch menu. The center provides morning breakfast and afternoon lunch

Center uses paper sign in sheet.



Continued on 809-C
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021
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: 10/13/2021
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A sampling of children and staff records were reviewed and found current. Teachers present have current Pediatric First Aid/CPR certificates that expire on 8/2/2023. Teachers present have current AB 1207 Mandated Reporter Training certificate on file.

ncidental 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


No deficiencies were cited during today's visit.
THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021
LIC809 (FAS) - (06/04)
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