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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215557
Report Date: 02/04/2020
Date Signed: 02/04/2020 01:50:36 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:ABC KIDS PRESCHOOLFACILITY NUMBER:
566215557
ADMINISTRATOR:ALMA FERRELFACILITY TYPE:
850
ADDRESS:1900 5TH STREETTELEPHONE:
(805) 834-3113
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY:78CENSUS: 64DATE:
02/04/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Crystal LopezTIME COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Michael Avila made an unannounced visit for the purpose of conducting a Case Management inspection. LPA Avila met with assistant director Crystal Lopez and discussed the nature and purpose of the visit. LPA toured the facility accompanied by assistant director Lopez.

On January 9th, 2020 the facility self-reported a child (C1) while playing on the outdoor play structure fell and sustained a head injury. The incident occurred at/or around 10am when the child (C1) was playing on the structure and fell from being pushed by another child (C2). The assigned teacher (S1) was standing close to the children when the incident occurred. First-Aid was immediately rendered to the child (C1) who fell and the child's parent was notified of the fall. Staff (S1) gave a health and wellness check on the child who fell and did not see any injuries. The child (C1) was picked up by the parent's authorized representative and It was not until the evening when the child's mother discovered her child had sustained a bump on his head. The child's parent took her child to seek medical attention where the child was released from care back to the parents. The child is still being cared for at the facility.

The facility has changed their protocol when supervising children playing on the play structure ensuring there is a staff teacher providing supervision and guidance to children playing on the structure.

Given staff's close proximity at the time of the incident and immediate first-aid treatment was rendered to the child along with efforts to contact the parent, it was deemed staff acted appropriately during this incident.
Staff will make further changes to include all staff is aware of the children's behavior when playing on the play structure.

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: 02/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2020
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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