<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566210220
Report Date: 06/07/2019
Date Signed: 06/07/2019 05:40:35 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:CDI - HARRINGTON CHILD DEVELOPMENT CENTERFACILITY NUMBER:
566210220
ADMINISTRATOR:RACHEL CHAMPAGNEFACILITY TYPE:
850
ADDRESS:2501 GISLER AVENUE ROOM C-101TELEPHONE:
(805) 483-8732
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:24CENSUS: 17DATE:
06/07/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Kalee PizarroTIME COMPLETED:
05:55 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Michael Avila made an unannounced visit for the purpose of conducting a Case Management inspection. LPA Avila met with lead teacher Kalee Pizarro and Amber Lopez and discussed the nature and purpose of the visit.

The facility self reported that on Tuesday June 4,2019, at/or around 8:30am, a child (C1) was discovered alone in the classroom. LPA conducted interviews with staff and determined staff lost sight of the child momentarily (1-5 minutes) while the class was transitioning from the outside playground back into the classroom. Staff (S1) called the children to line up outside the classroom, however, the child (C1) instead walked directly into the classroom. It wasn't until the first teacher (S2) walked in when she discovered the child was already in the classroom. Prior to the children being called into the classroom, C1 was observed with S2 playing in the yard.

Given the information obtained, a Technical Advisory (LIC 9102) is being issued for the following Title 22 regulation: 101229(a)(1) Responsibility for Providing Care and Supervision.



SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019
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 1