<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561709978
Report Date: 03/03/2023
Date Signed: 03/03/2023 11:26:49 AM

Document Has Been Signed on 03/03/2023 11:26 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:MOUNT CROSS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
561709978
ADMINISTRATOR:AMY VEGAFACILITY TYPE:
850
ADDRESS:102 CAMINO ESPLENDIDOTELEPHONE:
(805) 482-9706
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY: 57TOTAL ENROLLED CHILDREN: 57CENSUS: 51DATE:
03/03/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Elizabeth FoxTIME COMPLETED:
11:45 AM
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 March 3, 2023 at 9 AM, Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced case management- other inspection to deliver a waiver that was granted. LPA met with site supervisor Elizabeth Fox and explained the purpose for the inspection. Together LPA and site supervisor toured the facility inside and outside. At the time of inspection there were 51 children and 8 adults. During the tour LPA did not observe any hazardous/toxic items.

The center submitted a waiver request to allow the toddlers program to use the same playground as the preschoolers. The waiver request has been granted and is valid for the term of the license and is subject to review at the discretion of the licensing agency. The waiver was granted under the following conditions:

1. The toddler children shall utilize the playground following the outdoor activity schedule Monday- Friday

a. Toddlers use the outdoor space from 9:15 am- 9:50 am and 10:45 am- 11:15 am

2. Appropriate teacher child ratio shall be maintained at all times.

3. Facility must maintain the terms of this waiver at all times.

4. Commingling will not be allowed at any time.

5. Waiver shall be posted at all times.

Failure to comply with the conditions may result in the termination of the waiver. The waiver must be posted with your license.

Exit interview conducted and report was reviewed with site supervisor Elizabeth Fox.

Notice of Site Visit was given, failure to post may result in $100 fine.

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 03/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1