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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566206991
Report Date: 10/15/2019
Date Signed: 10/15/2019 05:15:02 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:LAS POSAS CHILDREN'S CENTER - MONTALVOFACILITY NUMBER:
566206991
ADMINISTRATOR:LETICIA LARESFACILITY TYPE:
840
ADDRESS:2050 GRAND AVE.TELEPHONE:
(805) 658-6708
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:33CENSUS: 41DATE:
10/15/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Leticia LaresTIME COMPLETED:
05:20 PM
NARRATIVE
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Licensing Program Analyst, (LPA) Jill Laxo made an unannouced annual inspection. LPA met with Leticia Lares and the reason for the visit was discussed. One classroom was toured and the designated outside play area. There were 3 teachers supervising 41 children. Bathrooms were in safe and sanitary condition and free of hazards. Classroom was adequately equipped with age and size appropriate furniture and equipment was in good condition. Sign in and out sheets contained signatures and times.

Disinfectants and cleaning supplies are stored in a locked cabinet in the bathroom. Drinking water was readily available both indoors and out. The last emergency drill was conducted on 10/02/2019.

The playground was enclosed with climbing equipment on cushioned material. The play equipment is in good condition and was free of hazards. There were no bodies of water. Director stated there are no guns nor ammunition in the classroom.

Personnel records were viewed and contained documents for education, AB 1207, and CPR/First Aid expires 06/2020, Staff immunization records were reviewed. Children records contained authorized representative contact information and signed Parent Rights Notification.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: LAS POSAS CHILDREN'S CENTER - MONTALVO
FACILITY NUMBER: 566206991
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/18/2019
Section Cited

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101179 Capacity Determination: A license shall be issued for a specific capacity, which shall be the maximum number of children that can be cared for at any given time.
This requirement was not met as evidenced by:
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Based on observation and record review the licensee failed to comply with the limitations of the license total capacity. Which poses an imeediate Health and Safey risk to children/clients in care..
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Type A
10/18/2019
Section Cited

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101516.5 Teacher-Child Ratio: (b) There shall be a staffing ratio of one teacher and one aide present to every 28 children in attendance. (1) A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children.
This requirement was not met as evidenced by:
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Based on observation licensee failed to comply with staffing ration of one teacher to 14 children. Which poses an imeediate Health and Safey risk to children/clients in care..
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:
DATE: 10/15/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/15/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: LAS POSAS CHILDREN'S CENTER - MONTALVO
FACILITY NUMBER: 566206991
VISIT DATE: 10/15/2019
NARRATIVE
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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

An exit interview was conducted with licensee Robert Alfino and Plans of Correction were developed. Copies of Appeal Rights LIC 9058 were provided and Licensee's signature on this form acknowledges receipt of these rights.

The following deficiencies were cited: 101179 Capacity Determination, 101516.5 Teacher-Child Ratio See LIC 809D.


LIcensee shall post and provide copies of the report to the each authorized representative of children in care. A LIC 9224 was provided to Licensee.

LPA provided a notice of site visit and observed it was posted.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3