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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566207725
Report Date: 10/01/2019
Date Signed: 10/01/2019 01:11:34 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:CAPSLO - LINDA VISTA MIGRANT SEASONAL & HEAD STARTFACILITY NUMBER:
566207725
ADMINISTRATOR:NORMA RAZOFACILITY TYPE:
850
ADDRESS:514 MOUNTAIN VIEWTELEPHONE:
(805) 524-5166
CITY:FILLMORESTATE: CAZIP CODE:
93015
CAPACITY:40CENSUS: 31DATE:
10/01/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Norma RazoTIME COMPLETED:
01:00 PM
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Licensing Program Analyst LPA), Laura Villanueva made an unannounced inspection in order to conduct an Annual/Random review and met with the Site Supervisor, Norma Razo. The purpose of the visit was discussed and a tour of the inside and outside of the facility was conducted. The classrooms were found clean and organized with age appropriate equipment. The restrooms were found clean and free of toxins. There is a functioning carbon monoxide detector that meets statutory requirements. All required State forms were posted. Menu was posted. The outdoor play area is completely fenced with shaded areas. Drinking water is available inside and outside.

Teacher files reviewed and were found complete with State required forms. Teachers are current with CPR and First Aid which expires 02/20/20. The last fire drill was conducted on 9/25/19. Children's files reviewed and found complete. Center staff are current with immunization requirements per SB 792. Teachers are current with Child Development Site Supervisor Permit and Child Development Teacher Permit.

The center is not currently providing Incidental Medical Services. 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

Lead Poisoning flyer was provided.

In areas evaluated, no deficiencies observed. Notice of site visit given.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019
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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