566211800-2-15-2024-17-CC-SMAZ-D2GSUH-20240215131109

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566211800
Report Date: 02/15/2024
Date Signed: 02/15/2024 01:11:13 PM

Document Has Been Signed on 02/15/2024 01:11 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	PACIFIC CAMPS OXNARD		FACILITY NUMBER:	566211800
ADMINISTRATOR:	ED HARLEY		FACILITY TYPE:	840
ADDRESS:	850 IVYWOOD DR.		TELEPHONE:	(805) 983-0214
CITY:	OXNARD	STATE: CA	ZIP CODE:	93030
CAPACITY:	100	CENSUS: 0	DATE:	02/15/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Nathaniel Van Earden		TIME COMPLETED:	12:45 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	On February 15, 2024, Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced Required -3 Year inspection. LPA met with site supervisor Nathaniel Vanearden and advised him the purpose of the inspection. Nathaniel provided LPA a tour of the facility inside and out. At the time of inspection there were 0 children in care and no other adults on site. During normal school days, the center operates M-F 1:30 PM- 6 PM and during school breaks M-F 7 AM- 6 PM. LPA observed required licensing documents mounted on the wall in the main office where children are checked in and out. The center uses an App called Brightwheel for sign-in/sign-out. The center is conducting and documenting fire/disaster drills. LPA observed last drill was conducted on 9/14/2023. The center currently uses two rooms for care: Room 3 and Room 4. Each of the classrooms have age-appropriate learning materials and furnishing for children in care. LPA observed enough restrooms available for children to use. LPA did not observe any hazards/toxins items accessible to children. First Aid kits were observed throughout the facility. A dual smoke/carbon monoxide detector was observed in each classroom. Site supervisor tested the detector in Room 3 at 11:04 AM and was found to be in working condition. The center uses two outdoor areas which are fenced. LPA observed age-appropriate play structures for children to use. Drinking water is made available inside and outside of the facility by means of water jugs that are filled with purchased filtered water. Site supervisor states children bring water bottles from home, but the center has disposable cups that are readily available for children to use. The center provides prepackaged snacks for children in care. A sampling of children and staff records were reviewed. LPA observed children's files to be complete and current. Staff mandated reporter certification are all current. LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements. CPR/First Aid certification is current and valid through 12/15/25. Continued on 809-C

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: PACIFIC CAMPS OXNARD	FACILITY NUMBER: 566211800
	VISIT DATE: 02/15/2024

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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

CCC COMPLETED TESTING AND IS IN THE PROCESS OF REMEDIATING LEAD EXCEEDANCES.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

LPA provided the following resources:
- Teacher qualifications for School Age
- Pictorial Ratio Fact sheet

No deficiencies were cited.

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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the site supervisor Nathaniel Vanearden.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2024

LIC809 (FAS) - (06/04)

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