<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215043
Report Date: 10/09/2019
Date Signed: 10/09/2019 01:07:48 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:LITTLE SCHOLARS MONTESSORIFACILITY NUMBER:
566215043
ADMINISTRATOR:MARYROSE RUIZFACILITY TYPE:
850
ADDRESS:6868 CAPRI AVE.TELEPHONE:
(805) 676-1488
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:180CENSUS: 121DATE:
10/09/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Jennifer McauleyTIME COMPLETED:
01:20 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 10/09/2019, at approximately 11:00 a.m. Licensing Program Analyst (LPA) Jill Laxo made an unannounced visit to conduct an Annual inspection. LPA met with Jennifer Mcauley, and explained the purpose of the inspection. There were 18 teachers supervising 121 children. The center was toured inside and out. There are 8 classrooms used for the preschool program. All classrooms are adequately equipped with age and size appropriate furniture and equipment is in good condition. Bathrooms were inspected and observed to be safe and clean. Disinfectants and cleaning supplies are stored above 5 feet.

The facility uses an electronic sign in sign out system, with a physical form back up in case of emergency. All required forms are posted in a prominent location. Meals are provided with monthly menus posted. Drinking water was readily available both indoors and out. Medications are stored inside the office secured and inaccessible to children.

The outdoor playground was enclosed by a fence and has equipment in safe condition, free of hazards with cushioning ground material. There are no bodies of water and no guns or ammunition on the premises.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2019
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: LITTLE SCHOLARS MONTESSORI
FACILITY NUMBER: 566215043
VISIT DATE: 10/09/2019
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Staff records were reviewed and contained documentation for education, AB 1207, health screening, CPR/First Aid expires 12/05/2020, criminal background clearance and proof of immunization as required per SB 792. Children records contained authorized representative contact information and individual medical assessment and proof of immunization.

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

A Guide to Safe Sleep and Effects of Lead Exposure brochures were provided.



No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2