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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216184
Report Date: 01/06/2022
Date Signed: 01/06/2022 11:20:53 AM

Document Has Been Signed on 01/06/2022 11:20 AM - It Cannot Be Edited

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:KID POINTEFACILITY NUMBER:
566216184
ADMINISTRATOR:MATT ADRIANFACILITY TYPE:
830
ADDRESS:5415 RALSTON ST.TELEPHONE:
(805) 202-4554
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: 0DATE:
01/06/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Michelle StarkTIME COMPLETED:
11:35 AM
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On January 6, 2022 at 8:50 AM, Licensing Program Analysts (LPAs) Francisco Pedroza and Michael Mathew conducted an announced Pre-licensing inspection. LPAs met with facility Director Michelle Stark and advised them the purpose of the inspection. LPAs were provided a tour of facility inside and out. There were no children in care at the time of the inspection. Facility hours of operation are Monday thru Friday 7:00 AM to 6:00 PM.

Facility is located on a local church premises. LPAs observed the required licensing documents mounted on the wall in the lobby of the facility. LPAs observed a posted snack menu. Facility provides two snacks daily for children in care. Children will bring their own lunch from home. The facility will be using three classrooms for children in care. LPAs observed each classroom had age appropriate toys and furniture readily accessible for children in care. The younger infant classroom had a separate area for cribs. LPAs observed 17 moveable cribs. The facility provides a sleeping mat for the older children that do not require a crib. LPAs reviewed the center's infants needs and service plans. The facility will be storing infants milk and food in a refrigerator. Every infant will have their storage box in the refrigerator with their name on it. LPAs advised Director to ensure the food is properly labeled with the child's name and date. The facility has two yards. One yard is for the younger infants and the second is for older/toddler children. Water will be available for children inside and out. Director advised that the facility will be using the the electronic application Himama. The application allows the facility to sign-in/sign-out children. Staff will be logging 15 minute sleep checks, meals, changing, incidents, and other options.

LPAs reviewed, discussed and gave applicant updated samples of state required forms to be kept in the children's file, required forms to be posted and forms that needs to be maintained at the Child Care Center (CCC). LPAs discussed information capacity, ratios, current Covid-19, and safe sleep requirements.

Continued on 809-C
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 01/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/06/2022
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: KID POINTE
FACILITY NUMBER: 566216184
VISIT DATE: 01/06/2022
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Director was made aware that it is the facility's responsibility to know the current regulations for a CCC which can be accessed on-line at www.cdss.ca.gov.

Facility Measurements:
Indoor – 2,785.28 square footage meets the requirement for 50 children.
Outdoor – 3,790 square footage meets the requirement for 50 children.

The center meets Title 22 Division 12 requirements.

License will be effective today, January 06, 2022 for 50 children.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2022
LIC809 (FAS) - (06/04)
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