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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215253
Report Date: 09/02/2021
Date Signed: 09/02/2021 01:20:28 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:VENTURA CHILDREN'S LEARNING CENTERFACILITY NUMBER:
566215253
ADMINISTRATOR:VIKTORIIA SHEVKUNOVAFACILITY TYPE:
830
ADDRESS:1110 PETIT AVE.TELEPHONE:
(805) 672-0300
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY:22CENSUS: 7DATE:
09/02/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:11 AM
MET WITH:Viktoria ShevkunovaTIME COMPLETED:
11:20 AM
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On September 2, 2021 at 10:11 AM, Licensing Program Analyst (LPA) Austin Rios conducted a Required Annual inspection. LPA met with Director Viktoria Shevkunova and advised her the purpose of the inspection. LPA conducted Covid-19 screening questions prior to entering the facility. LPA conducted a tour of the facility inside and out. There were 7 children in care at the time of the inspection with six staff. The center operates from 7:00 AM to 6:00 PM Monday thru Friday. This is a combination center with a pre-school program.

Center uses electronic sign in sheet called Tadpool and uses two classrooms for the infant program. The restrooms were found clean and free of toxins. There is a functioning carbon monoxide detector that meets statutory requirement. All required State forms were posted. The outdoor play area is completely fenced and LPA observed age appropriate toys, equipment and shade. Drinking water is available inside and outside. Teacher files reviewed and were found complete with State required forms. Teacher's Medical Health Records verified. Teachers are current with CPR and First Aid which expires 7/9/2021. Children's files reviewed and found complete. Center staff completed Mandated Reporter Training and has an expiration date of 9/17/2021. There was a diaper changing table within an arm's reach to the sink. Each child had their infant needs and services plan as well as their own individual feeding plan. The refrigerator had each child's formula, sipping cups, bottles lined up in their own tray and the older infants use mats for nap time. Facility has sufficient amount of cribs and LPA observed no objects hanging above.

Cont on 809C.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021
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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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: VENTURA CHILDREN'S LEARNING CENTER
FACILITY NUMBER: 566215253
VISIT DATE: 09/02/2021
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LPA observed safe sleep regulations were being met and fifteen minute check was documented and posted in the classroom.

The center is not currently not providing Incidental Medical Services. Incidental Medical Services (IMS) policy was discussed. For 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



No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS 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: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021
LIC809 (FAS) - (06/04)
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