566215636-9-28-2021-17-CC-LVIA-C7ARMU-20210928130919

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566215636
Report Date: 09/28/2021
Date Signed: 09/28/2021 01:09:26 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:	HARRINGTON STATE PRESCHOOL		FACILITY NUMBER:	566215636
ADMINISTRATOR:	NOEMI VALDES		FACILITY TYPE:	850
ADDRESS:	451 EAST OLIVE STREET		TELEPHONE:	(805) 385-1530
CITY:	OXNARD	STATE: CA	ZIP CODE:	93033
CAPACITY:	24	CENSUS: 13	DATE:	09/28/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Ariana Palomar		TIME COMPLETED:	01:30 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 September 28, 2021 at 11:50 AM Licensing Program Analyst, Laura Villanueva conducted an unannounced inspection to complete an annual required visit. Prior to inspection, LPA Villanueva asked pre screening questions related to COVID 19, Teacher's response indicates there are no COVID 19 exposures on site. LPA toured the classroom inside and outside and met with Teacher, Ariana Palomar. There were 13 children present with 3 staff during the visit. There is one classroom with a playground. The center shares the outdoor yard with another preschool program. They have an alternating schedule to use the play yard. The center is located on the Harrington Elementary School site. There is a morning session from 8:00 AM to 11:00 AM and an afternoon session from 11:05 PM to 2:05 PM. All cleaning or hazardous items are stored inaccessible to children. Toilets and hand washing facilities are in safe and in sanitary conditions. Center provides breakfast to morning session children and lunch for the children attending in the afternoon. Food menu is posted and all required forms are posted visibly for child's authorized representatives to view. Meals are prepared by the school district cafeteria and staff bring it to the classroom. There is drinking water available for children inside and outside in their individual water bottles. The playground equipment is in good condition. The areas around and under high climbing equipment have cushioned material and are free of hazards. Sign in/out sheets were complete. Staff records and child files are located at the district office. LPA will review at District Office at a later date. The center is not currently providing Incidental Medical Services. Incidental Medial Services (IMS). The center provides IMS but currently does not have any children with medication. For additional IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. Continued on LIC809-C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura Villanueva	TELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021

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: HARRINGTON STATE PRESCHOOL	FACILITY NUMBER: 566215636
	VISIT DATE: 09/28/2021

NARRATIVE

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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.

An exit interview was conducted and a copy of this report was given to Teacher, Ariana Palomar. No deficiencies cited today.

THE NOTICE OF SITE VISIT WILL BE 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: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura Villanueva	TELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021

LIC809 (FAS) - (06/04)

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