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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214219
Report Date: 01/15/2020
Date Signed: 01/15/2020 01:37:55 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:MAOF SANTA PAULA EARLY LEARNING CENTERFACILITY NUMBER:
566214219
ADMINISTRATOR:MARIA SANCHEZ-VILLALPANDOFACILITY TYPE:
850
ADDRESS:1111 E. SANTA PAULA STREETTELEPHONE:
(805) 525-8745
CITY:SANTA PAULASTATE: CAZIP CODE:
93060
CAPACITY:72CENSUS: 29DATE:
01/15/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Maria Sanchez-VillalpandoTIME COMPLETED:
01:45 PM
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Licensing Program Analysts (LPAs) Laura Villanueva and Betzayra Cervantes made an unannounced visit for the purpose of conducting an Annual/Random Inspection. The purpose of the visit was discussed with Site Supervisor Maria Sanchez-Villalpando then the classrooms and outdoor activity space were toured. The center operates Monday through Friday, from 6:30AM to 5:30PM.

All cleaning or hazardous items are stored inaccessible to children. Toilets and hand washing facilities are in safe and in sanitary conditions. Center provides breakfast, AM snack, lunch, and PM snack. Food menu is posted and all required forms are posted visibly for child's authorized representatives to view. Kitchen, food preparation and storage areas are kept clean. Food is properly label and stored. Waste containers have tight-fitting covers. There is drinking water available for children inside and outside the classrooms. The playground equipment is in good condition. The areas around or under high climbing equipment have cushioned material. Sign in/out sheets were complete. All staff have a criminal record clearance. Staff records were reviewed and found complete. Children's files reviewed contain required forms and are complete. CPR and First Aid cards is current with expiration date of 03/28/21.

The center is currently providing Incidental Medical Services. Incidental Medial Services (IMS). The center provides IMS but currently does not have any children with medication. For additional 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.

Continued on LIC809-C
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2020
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: MAOF SANTA PAULA EARLY LEARNING CENTER
FACILITY NUMBER: 566214219
VISIT DATE: 01/15/2020
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A Lead Prisoning Flyer and PIN 20-01-CCP was given and discussed with Site Supervisor.

No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WILL BE 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: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2020
LIC809 (FAS) - (06/04)
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