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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215756
Report Date: 05/28/2019
Date Signed: 05/28/2019 12:46:54 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:CAMP AMGENFACILITY NUMBER:
566215756
ADMINISTRATOR:MEAGAN GARRISFACILITY TYPE:
850
ADDRESS:855 NORTH VENTU ROADTELEPHONE:
(805) 447-6793
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91320
CAPACITY:28CENSUS: 0DATE:
05/28/2019
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Meagan Garris TIME COMPLETED:
12:00 PM
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Licensing Program Analysts (LPAs)Laura Villanueva conducted a PRELICENSING visit to the center. Met with Executive Director, Meagan Garris. This is a school-aged program addition to the program. The program will operate Monday through Friday from 7:00 AM to 6:30 PM on days that the children are off from school. The center was toured and measured both inside and outside. There are age appropriate toys/equipment/furnishings. There is drinking water available both inside (portable water dispenser and cups) and outside. There is a private restroom in the hall for the children.The outdoor is attached to the center and is completely enclosed by a fence with gates. There are shaded areas.

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.htmThe indoor and outdoor square footage meets the requirements for 12 infants. Director was reminded that the Child Care Center regulations could be accessed online at www.ccld.ca.gov.

Based on the indoor measurements, outdoor measurements, including sink, toilet, drinking water available indoors/outdoors, and shade available for 28 school aged children. License is effective today.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2019
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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