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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566212365
Report Date: 07/22/2021
Date Signed: 07/22/2021 11:19:37 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:ST. PETER CLAVER PRESCHOOL AND KINDERGARTENFACILITY NUMBER:
566212365
ADMINISTRATOR:ANGELA MEYERFACILITY TYPE:
850
ADDRESS:5670 COCHRAN ST.TELEPHONE:
(805) 526-2244
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:96CENSUS: 0DATE:
07/22/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:13 AM
MET WITH:Angela MeyerTIME COMPLETED:
11:25 AM
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On July 22, 2021 at 10:15 am, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Annual/Random inspection. Prior to entering the facility, LPA contacted the facility and conducted the Covid-19 screening questions. LPA met with facility Director Angela Meyer and advised the purpose of the inspection. There were no children in care at the time of the inspection. Currently the school is closed for Summer break. Facility hours of operation are Monday - Friday 8:15 am - 5:00 pm.

LPA observed required licensing documents mounted on the wall in the hallway at the entrance of the facility. The center has four (4) classrooms available for use. Children bring their snacks and lunch from home during the school year. Each classroom has it's own restroom readily accessible for children in care. LPA did not observe any hazards/toxins items accessible to children in care. Each of the classrooms have age appropriate toys and furniture readily accessible for children in care. Facility provides a sleeping mat for children that are staying a full day if they choose to sleep during quiet time. The outdoor playground has an ample amount of space for children to play. LPA observed the playground has age appropriate toys and structures available for children to use. The playground has ample amount of shade available. The facility has water available for children inside and out. Children bring their own water bottles from home for use during the day.

Continued on 809-C
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
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: ST. PETER CLAVER PRESCHOOL AND KINDERGARTEN
FACILITY NUMBER: 566212365
VISIT DATE: 07/22/2021
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A sampling of staff records were reviewed. LPA observed staff files to be complete and current. LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements. Teachers meet the required qualifications. Teachers present have current Pediatric CPR/First-Aid certificates that are valid until 8/13/2021. Teachers Mandated Reporter certificate was not available at the time of the inspection. LPA advised Director that staff must complete the Mandated Reporter training prior to resuming normal operations. Director advised that she understood. LPA spoke with Director about new Covid-19 guidelines. Facility is currently following Covid-19 guidelines.

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 follow 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 inspection.
THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
LIC809 (FAS) - (06/04)
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