566206839-2-25-2020-17-CC-JMHL-BM5SQT-20200225130517

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566206839
Report Date: 02/25/2020
Date Signed: 02/25/2020 01:05:23 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:	FIRST UNITED METHODIST PRESCHOOL & CHILDCARE		FACILITY NUMBER:	566206839
ADMINISTRATOR:	AUTUMN MCGUIRE		FACILITY TYPE:	830
ADDRESS:	1338 E. SANTA CLARA ST.		TELEPHONE:	(805) 653-5304
CITY:	VENTURA	STATE: CA	ZIP CODE:	93001
CAPACITY:	16	CENSUS: 7	DATE:	02/25/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:47 AM
MET WITH:	Autumn McGuire		TIME COMPLETED:	01:30 PM

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 02/25/2020, at 10:47 a.m. Licensing Program Analyst, (LPA) Jill Laxo conducted an unannounced annual inspection and met with Director Autumn McGuire. The purpose of the inspection was discussed. The facility was toured inside and out. There were seven infants present, two teachers, and one volunteer in the infant classroom. The classroom is adequately equipped with age and size appropriate furniture and equipment. The one changing table is located within arms reach of the designated sink. Each infant in care has a current needs and services plan. Bottles are labeled with name and date for each infant and stored in individual containers in the refrigerator. Cribs and napping equipment are sufficient and meet the needs of children in care. The area for napping is located in the classroom and visually supervised by a teacher when occupied. The infant outdoor area is attached to the classroom and is equipped with appropriate toys and equipment and the surface is safe and free of hazards. The combination smoke and carbon monoxide detector is located on the wall above the napping area. Medication is centrally stored and maintained with the child's name, instructions and date of expiration. There are no bodies of water on the premises. Director stated there are no guns nor ammunition in the center. All staff have criminal record clearances. AB 1207 Mandated Reporter Training expires on 01/20/2021. CPR and Pediatric first aid expires on 01/2022. Staff files reviewed have record of immunization as required per SB 792. All required licensing forms are posted in a prominent location. Continued on 809-C

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-Laxo	TELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020

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: FIRST UNITED METHODIST PRESCHOOL & CHILDCARE	FACILITY NUMBER: 566206839
	VISIT DATE: 02/25/2020

NARRATIVE

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Children records were reviewed and contain medical assessments, and individual feeding plans.

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

A Guide to Safe Sleep and Effects of Lead Exposure brochures were provided.

No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-Laxo	TELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020

LIC809 (FAS) - (06/04)

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