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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214032
Report Date: 05/14/2019
Date Signed: 05/14/2019 01:56:32 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:ESPINOZA FCC AKA ESPINOZA'S PRE-SCH & CHILD CAREFACILITY NUMBER:
566214032
ADMINISTRATOR:MARIA LUISA ESPINOZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 827-2608
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY:14CENSUS: 2DATE:
05/14/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:07 PM
MET WITH:Maria Luisa EspinozaTIME COMPLETED:
02:00 PM
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Licensing Program Analysts(LPA) Ana Tolentino made an unannounced Annual Random Inspection. The purpose of the inspection was discussed with Licensee Maria Luisa Espinoza and a tour of the home was conducted inside and outside.

The home is a one story home, Licensee uses the living room, dinning room, one bathroom, sunroom and the backyard for day-care. The bedrooms are not used for day-care, kept locked and inaccessible to the children. No firearms or ammunition in the home. Detergents, cleaning products, medication and other items which could pose a danger to children are stored inaccessible to children. Fire extinguisher is a 2A10BC, last serviced 08/02/2018. Fire and disaster drills last conducted 04/17/2019. The home has a smoke and carbon monoxide detector. Licensee has all required forms posted on a bulletin board for parent's to view. The home provides age appropriate toys. The children have safe and comfortable accommodation. SB792 Adult Immunization and AB1207 New Mandated Reporting Training on file. Licensee was provided reading material regarding Lead Prevention.

Incidental Medical Services (IMS) The Licensee currently has no children with IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: Ana TolentinoTELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2019
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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