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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214927
Report Date: 03/09/2020
Date Signed: 03/09/2020 04:32:19 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:CAPSLO - BUENA VTR. MIGRANT & SEASONAL HEAD STARTFACILITY NUMBER:
566214927
ADMINISTRATOR:CELIA RODRIGUEZFACILITY TYPE:
850
ADDRESS:2501 GISLER AVE.TELEPHONE:
(805) 385-1542
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:36CENSUS: 18DATE:
03/09/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Celia RodriguezTIME COMPLETED:
04:45 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 Celia Rodriguez and discussed the nature and purpose of the visit. The facility operates one session beginning at 5:30am through 4:30pm. 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. Breakfast, lunch and snacks are provided to the children in care. Lunch served at the time of the visit was consistent with the posted menu.

The outdoor area was observed with age appropriate toys. Shade is made available large umbrellas and an overhead canopy. Water is accessible via portable water dispensers. The playground structure is age appropriate for ages 3-5 years old. A sponge type surface was observed at the base of the playground structure. The facility has a separate area to accommodate the toddler component. No toxins nor hazards were observed accessible to children in care. The playground area is fenced off from the preschool with age appropriate toys. Shade via an overhead canopy along with water is also accessible to children in care.

All medications are stored in a locked box inaccessible to children in care. One child (C1) is currently receiving Incidental Medical Services – IMS at this time. 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: 03/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020
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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