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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215180
Report Date: 01/14/2020
Date Signed: 01/14/2020 04:20:32 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:SEGURA FCC AKA CARING FOR YOUR CHILDRENFACILITY NUMBER:
566215180
ADMINISTRATOR:XOCHITL SEGURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 822-2124
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:14CENSUS: 6DATE:
01/14/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Juanita FerminTIME COMPLETED:
04:30 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 Licensee's adult assistant Juanita Fermin and discussed the nature and purpose of the visit. A tour of the home was conducted. Upon entry into the home, LPA observed Licensee was not home but her adult assistant was present caring for 4 daycare children along with Licensee's children. LPA observed a gate at the base of the stairs. No toxins nor hazards were observed accessible to children in care. LPA also observed a gate in front of the fireplace.

The home maintains a 2A10BC fire extinguisher with a service tag dated 2/14/2019. The home maintains a smoke detector and carbon monoxide monitor that meet the statutory requirements. The last fire drill was conducted on 06/7/2019.

Outdoor space was fully fenced with adequate play equipment for children in care. Licensee maintains a current roster of children enrolled and conducts fire and disaster drills. All adults have obtained a criminal record clearance. Licensee's assistant is current with her pediatric CPR/First aid with an expiration of 3/15/2021.

No deficiencies were issued during this facility visit.

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020
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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