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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215165
Report Date: 11/26/2019
Date Signed: 11/26/2019 11:13:11 AM

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:MAGAÑA FAMILY CHILD CAREFACILITY NUMBER:
566215165
ADMINISTRATOR:MARICELA MAGAÑAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 258-2399
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY:14CENSUS: 11DATE:
11/26/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Maricela MaganaTIME COMPLETED:
11:15 AM
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Licensing Program Analyst, (LPA) Jill Laxo conducted an unannounced annual inspection at Magana Family Child Care and met with Maricela Magana. The purpose of the inspection was discussed with the Licensee and together we toured the home inside and out. During today's visit the Licensee had 11 children and two assistants present.

The facility is a two story home, the day care is primarily conducted on the first floor and backyard. The second story is secured by a gate at the bottom of the stairs, making it inaccessible to children. Detergents, cleaning products, medication and other items which could pose a danger are stored and inaccessible to children. There are no bodies of water on the property. Firearms in the home are stored in a locked safe on the second floor. Fire extinguisher is a 2A10BC was last serviced 02/20/2019.

The home has working smoke and carbon monoxide detectors. Licensee has all required forms posted for parents to view. The last emergency evacuation drill was performed on 09/16/2019. Safe toys and play equipment are provided. The children have safe and comfortable accommodations. Fireplace is locked. Licensee has current children roster Children's file reviewed and have required forms. Licensee has current Pediatric CPR/First Aid with expiration date of 04/21/2021. Licensee's proof of SB 792 Adult Immunization's verified and AB1207 Mandated Reporter Training certificate was completed 01/17/2019.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019
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: MAGAÑA FAMILY CHILD CARE
FACILITY NUMBER: 566215165
VISIT DATE: 11/26/2019
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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 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

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: 11/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019
LIC809 (FAS) - (06/04)
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