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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215756
Report Date: 03/13/2020
Date Signed: 03/13/2020 04:39:08 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:
03/13/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Jennifer MchughTIME COMPLETED:
02:00 PM
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On March 13, 2020 at 1:00 pm, Licensing Program Analysts (LPAs) Francisco Pedroza and Maria McDaniels conducted a Required Annual inspection. LPAs met with Executive Director Jennifer McHugh and advised her the purpose of the inspection. LPAs and Director together toured the facility inside and out. There no children in care at the time of the inspection. The facility operating hours are from 7:00 AM to 6:30 PM, Monday through Friday. This is a combined center with a Preschool and Infant programs.

Licensing required notices were posted prominently on the wall at the entrance of the facility. The facility uses two classrooms for the school age program. Children are escorted to another building for restrooms. LPAs did not observe any toxins/hazardous items accessible to children. The classrooms have age appropriate toys and furniture available for children. LPAs observed and reviewed the posted snack menu. The center provides a morning and afternoon snack. Children have the option to order lunch from the center or bring a lunch from home when children are in care. Children are escorted to an outdoor grass play area for recreation. The center has water available for children inside and out.

Center uses written sign-in/sign-out sheets located at the entrance of each classroom. The center is also using a real time electronic application called My Bright Day allowing parents to have access to real time events occurring in the center.
Continued on 809C
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
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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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: CAMP AMGEN
FACILITY NUMBER: 566215756
VISIT DATE: 03/13/2020
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A sampling of children and staff records were reviewed. Teachers have required qualifications. Teachers present have current Pediatric First Aid/CPR certificates that expire on 10/20/2019. Teachers present have current AB 1207 Mandated Reporter Training certificates that expire on 03/12/2021. LPAs verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements.

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: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
LIC809 (FAS) - (06/04)
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