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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566213560
Report Date: 09/12/2019
Date Signed: 09/12/2019 02:58:44 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:FREDRICKSON FAMILY EARLY CHILDHOOD CENTERFACILITY NUMBER:
566213560
ADMINISTRATOR:KATHRYN DEANFACILITY TYPE:
830
ADDRESS:3450 CAMPUS DR.TELEPHONE:
(805) 493-3247
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY:6CENSUS: 4DATE:
09/12/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Kathryn DeanTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Michael Avila and LPA Elvin Baddley conducted an unannounced Annual/Random inspection. The LPAs met with the Director Kathryn Dean and discussed the nature and purpose of the visit. The LPAs toured the facility accompanied with the Director. The center operates from 7:30 AM to 5:30 PM, Monday - Friday. The facility is a combination center with a preschool program with one classroom and a separate outdoor yard utilized for the care of infants.

Age appropriate furniture were observed for the infants in care. An operable carbon monoxide detector was observed in classroom. Food provided to the infants was refrigerated and labeled. Water was also accessible to the infants in care. Disinfectants and cleaning solutions were inaccessible and stored in classroom cabinets. The classroom had licensing required notices posted predominately.

The infant outdoor play areas is enclosed by a fencing which is made up of wrought iron and wire meshing. The toys play equipment and furniture in the play yard are age appropriate, varied and free of hazard. No bodies of water were observed on site.

The center provides IMS service. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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

As sampling of staff and infant files were reviewed. The infant files were complete and current. Additionally, the staff’s files contained educational requirement and supporting transcripts. All teachers have required immunization records in their files and at least one teacher has valid CPR/First Aid certificate until 2/5/21. LPAs reviewed sign/out sheet which corresponded with the infants in care. The Director informed the LPAs the center had no weapons on premises. The Director also provided documentation supporting the completion of fire/emergency drills, the most recent occurring on 7/12/19. LPA's illustrated the department's website of www.ccld.ca.gov with the Director and discussed safe sleep guidelines as found on the website. There were no deficiencies cited during today's visit.



There were no deficiencies cited today.

LPA observed posting of Notice of Site Visit before departure
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
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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