566215596-10-15-2021-17-CC-FPEA-C7TTZE-20211015151012

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566215596
Report Date: 10/15/2021
Date Signed: 10/15/2021 03:10:21 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:	CAMARILLO PROGRESSIVE MONTESSORI PRESCHOOL		FACILITY NUMBER:	566215596
ADMINISTRATOR:	BRANDY KRISTEN PICARD		FACILITY TYPE:	850
ADDRESS:	4646 ADOLFO		TELEPHONE:	(805) 484-1464
CITY:	CAMARILLO	STATE: CA	ZIP CODE:	93012
CAPACITY:	45	CENSUS: 24	DATE:	10/15/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Brandy Picard		TIME COMPLETED:	02:30 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 October 15, 2021 at 1:07 PM, Licensing Program Analysts (LPAs) Francisco Pedroza and Dean Thompson conducted an unannounced Annual/Random inspection. Prior to entering the facility, LPAs conducted Covid-19 screening questions. LPAs met with facility Owner Brandy Picard and advised her the purpose of the inspection. Owner provided LPAs a tour of the facility inside and out. There were 24 children in care at the time of the inspection. LPAs observed required licensing documents mounted on the wall at the entrance of the facility. LPAs observed the center snack schedule. The center provides two (2) snacks daily for children. Children bring their own lunch from home. The center has four (4) classes available for use. Currently they are only using three classrooms today. Facility had enough toilets and sinks available for children in care. LPAs did not observe any hazards/toxins items accessible to children in care. Each of the classrooms have age appropriate toys and furniture readily accessible for children in care. Facility provides children that are staying full day a sleeping cot during quiet time if they choose to sleep. LPAs observed the playground has age appropriate toys and structures available for children to use. The playground has ample amount of shade available. The facility has water available for children inside and out. Children use their own water bottles if they have them labeled with their name. LPAs observed children and staff wearing face masks. Continued on 809-C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021

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: CAMARILLO PROGRESSIVE MONTESSORI PRESCHOOL	FACILITY NUMBER: 566215596
	VISIT DATE: 10/15/2021

NARRATIVE

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A sampling of children and staff records were reviewed. LPAs observed children's files to be complete and current. Currently the facility does not have children that require Incident Medical services (IMS). LPAs observed staff files to be complete and current. LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements. Teachers meet the required qualifications. Teachers present have current Pediatric CPR/First-Aid certificates that are valid until 10/7/23. Teachers have current Mandated Reporter certificates that are valid until 10/13/2023. LPA spoke with Director about new Covid-19 guidelines. Facility is currently following Covid-19 guidelines.

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 follow 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 inspection.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021

LIC809 (FAS) - (06/04)

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