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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566208880
Report Date: 02/05/2020
Date Signed: 02/05/2020 11:14:51 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:OJAI UNIFIED SCHOOL DISTRICTFACILITY NUMBER:
566208880
ADMINISTRATOR:SHERYLANNE DAMASFACILITY TYPE:
850
ADDRESS:414 E. OJAI AVE.TELEPHONE:
(805) 640-4300
CITY:OJAISTATE: CAZIP CODE:
93023
CAPACITY:45CENSUS: 24DATE:
02/05/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sherylanne DamasTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Jill Laxo conducted an unannounced annual inspection and met with Director, Sherylanne Damas. The purpose for the inspection was discussed and together LPA and director toured the center inside and out. There are ten teachers supervising 24 children. The preschool uses two classrooms on Ojai Unified School campus. Bathrooms are in safe and sanitary condition and free of hazards. The preschool does not administer any medication at this time. The floors are clean and safe. Classrooms are adequately equipped with age and size appropriate furniture and equipment is in good condition. Children bring snacks and lunch from home, meals are not provided by the school. There are two refrigerators available for children to use.

Disinfectants and cleaning supplies are locked in the teacher closet and inaccessible to children in care. Drinking water dispensers are readily available to children both indoors and out. The playground is enclosed, and equipment is in safe condition including cushioning material and is free of hazards. There are no bodies of water. Director stated there are no guns nor ammunition located on the premises. Sign in/out sheets are located in the lobby with all required documents posted for authorized children's representatives to view.

Children records contained authorized representative contact information, parent rights, immunization, admission agreement, and medical consent. Staff records are maintained at the District Office. Director stated all staff are required to have a valid CPR and Pediatric First Aid card.
CONTINUED ON 809-C
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020
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: OJAI UNIFIED SCHOOL DISTRICT
FACILITY NUMBER: 566208880
VISIT DATE: 02/05/2020
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The school has two functioning carbon monoxide detectors located in each classroom.

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 Exposure brochure was provided.



No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020
LIC809 (FAS) - (06/04)
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