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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566212783
Report Date: 09/25/2019
Date Signed: 09/25/2019 01:00:15 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 - DEL NORTE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
566212783
ADMINISTRATOR:RACHEL CHAMPAGNEFACILITY TYPE:
850
ADDRESS:2500 LOBELIA DR.TELEPHONE:
(805) 988-3983
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY:72CENSUS: 44DATE:
09/25/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:46 AM
MET WITH:Jennifer EscamillaTIME COMPLETED:
12:20 PM
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Licensing Program Analysts (LPAs) Francisco Pedroza and Betzayra Cervantes made an unannounced inspection for the purpose of conducting an Annual/Random Inspection. LPAs met with facility Site Supervisor Jennifer Escamilla and explained the purpose of the visit. LPAs and Site Supervisor together toured the facility inside and out. The facility currently had 44 children in care at the time of the inspection. The center operates from 7:00 AM to 6:00 PM, Monday through Friday.

Licensing required notices were posted prominently on the wall at the entrance of the facility. The preschool uses three classrooms for care. The children use the elementary school restrooms. They are escorted to the restrooms by staff. LPAs did not observe any toxins/hazardous items accessible to children. The classrooms have age appropriate toys and furniture available for children. LPAs observed and reviewed the posted snack menu. The local school district provides snacks and meals for the children in care. The outdoor playground has age appropriate toys and equipment. The playground has an ample amount of shade available. The center has water available for children inside and out. Administrator advised the center does not have firearms or ammunition at the facility. Continued on 809C.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019
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 2
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: CDI - DEL NORTE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 566212783
VISIT DATE: 09/25/2019
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Center uses written sign-in/sign-out sheets located at the entrance of each classroom. A sampling of children and staff records were reviewed. Teachers have required qualifications. Teachers present have current First Aid/CPR certificates that expire on 05/31/21. Teachers present have current AB 1207 Mandated Reporter Training certificates that expire on 02/22/2020. LPAs verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements. Director was provided a guide for Safe Sleep and effects of Lead Exposure brochures.

Incidental Medical Services (IMS) policy was discussed and currently the center does have children with IMS. Plan of Operations on file. 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 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.

No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019
LIC809 (FAS) - (06/04)
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