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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566209103
Report Date: 06/08/2023
Date Signed: 06/08/2023 04:07:09 PM


Document Has Been Signed on 06/08/2023 04:07 PM - It Cannot Be Edited

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:KINDERCARE LEARNING CENTER VENFACILITY NUMBER:
566209103
ADMINISTRATOR:VIRGIE AGUILARFACILITY TYPE:
830
ADDRESS:1197 SOUTH VICTORIA AVENUETELEPHONE:
(805) 339-9363
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:32CENSUS: 67DATE:
06/08/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Shawn SmithTIME COMPLETED:
04:15 PM
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On 6/8/23, at 1:15 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required Inspection the abovementioned Child Care Center (CCC). LPA met with Shawn Smith, Director of the CCC and explained the purpose of the inspection. The LPA, in the company of Director, toured the interior and exterior of the CCC. The center operates from 6:30 AM to 6:30 PM, Monday - Friday. The CCC is a combination center with an infant, preschool and school age licenses. The preschool uses three rooms (Discovery Preschool Room, Preschool Room and Pre K Room) for childcare. LPA observed 67 children in care during the inspection along with six teachers providing care and supervision.

The rooms used for childcare are clean and organized. The rooms have age appropriate toys and furnishings available for children in care. The CCC has an operable carbon monoxide detector which was tested at 2:50 PM. LPA observed an operable refrigerator in the CCC's kitchen which contains some food items for the children’s consumption. The CCC provides snacks (breakfast, lunch and PM) for children and lunches are also provided by the CCC. LPA notes there is available filtered drinking water for children both inside the CCC and outside in the play area. The facility’s water sources have been tested for lead containment level and results are displayed. Disinfectants, cleaning solutions, sharps and medications in CCC are located in areas (i.e. elevated cabinet, secure cabinets) which are inaccessible to children in care. LPA notes the restrooms used by children in care is in safe and sanitary condition. LPA reviewed licensing required notices and documents posted predominately near the entry of the CCC. The CCC uses an electronic Sign In/Out application. LPA reviewed entries and noted entries contain the arrival and departure times of children in care and as well as notations from authorized representatives.

The CCC's outdoor playground areas, two in total, are enclosed by a combination of wrought iron and chain link fencing. The fences' entry/exit gates are secured and the footing in the areas is varied. LPA observed age appropriate toys and play equipment in the play areas. The toys and play equipment are in suitable condition and free of sharp, loose or pointed objects. The play structures in the playground areas have cushioning materials to absorb falls and an abundance of shade created by trees and building overhangs. Director is reminded to replace toys and play equipment which has degraded and is in in good repair. No

(CONT. 809-C, Page 2)

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2023
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: KINDERCARE LEARNING CENTER VEN
FACILITY NUMBER: 566209103
VISIT DATE: 06/08/2023
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bodies of water were observed on site. Waste receptacles with tight fitting covers were observed throughout the CCC.

A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records. Staff records were reviewed and found to contain current pediatric CPR and First Aid certifications (EMSA approved) as well as Mandated Report certifications. Director informed LPA no firearm or ammunition is stored on the premises.



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

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Facility representative Shawn Smith.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
LIC809 (FAS) - (06/04)
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