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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566212585
Report Date: 03/11/2020
Date Signed: 03/11/2020 12:31:44 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:TIERRA VISTA SCHOOLFACILITY NUMBER:
566212585
ADMINISTRATOR:DENISE ADAMSFACILITY TYPE:
850
ADDRESS:2001 SANFORD ST.TELEPHONE:
(805) 488-4454
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:24CENSUS: 0DATE:
03/11/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Jauqualine GonzalezTIME COMPLETED:
12:46 PM
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Licensing Program Analyst (LPA) Michael Avila made an unannounced visit for the purpose of conducting an Annual Random Inspection. LPA Avila met with site supervisor Jaqueline Gonzalez and discussed the nature and purpose of the visit. The facility operates 2 separate sessions with the first beginning at 8:30am - 12:30pm, and in the afternoon 12:30pm - 3:30pm. Lunch is provided in the morning session, however only snacks are provided in the afternoon session. Sign-in/Out sheets were observed current and complete. Parent postings and required Licensing Program information was observed posted prominently on the wall at the entrance of the classroom. Water is provided via a dispenser with disposable cups accessible to children. No toxins nor hazards were observed accessible to children in care. Age appropriate toys and furniture were observed throughout the classroom. Restrooms were observed clean and sanitary.

The outdoor area was observed with age appropriate toys. Shade is made available via a porch overhead at the entrance of the classroom. Water is accessible via water fountains located at the front of the classroom. LPA observed a soft surface at the base of a large age appropriate playground structure.

Staff records are located off site at the Ocean View District Office.

All medications are stored in a locked box inaccessible to children in care. There are no children during this session that are receiving Incidental Medical Services in the form of prescribed medication. This facility does not provide Incidental Medical Services – IMS. 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. LPA discussed annual pesticide training - IPM during this visit.

There were no deficiencies cited for today's visit.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020
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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