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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566208585
Report Date: 07/25/2019
Date Signed: 07/25/2019 04:21:09 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:THREE ANGELS PRESCHOOL AND INFANT CENTERFACILITY NUMBER:
566208585
ADMINISTRATOR:MARY WIGGINSFACILITY TYPE:
830
ADDRESS:6300 TELEPHONE RD.TELEPHONE:
(805) 639-0363
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:20CENSUS: 16DATE:
07/25/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Mary WigginsTIME COMPLETED:
04:30 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 Director, Mary Wiggins. The purpose of the visit was discussed and a tour of the facility was conducted. The center currently operates in two classrooms from 6:45 AM to 6:00 PM Monday through Friday. The classrooms were found clean, organized with age appropriate toys and equipment. There is a functioning carbon monoxide detector that meets statutory requirement. All required State forms were posted.
The outdoor play area is completely fenced. Drinking water is available inside and outside.
Teacher files reviewed and were found complete with State required forms. Teacher's Medical Health Record verified. Teachers are current with CPR and First Aid which expires 8/1/20.
Children's files reviewed. Center staff have completed Mandated Reporter Training.

The center is not currently not 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

No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WILL BE 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: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019
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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