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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561709978
Report Date: 03/21/2024
Date Signed: 03/21/2024 03:11:09 PM

Document Has Been Signed on 03/21/2024 03:11 PM - 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: 22DATE:
03/21/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:TIME COMPLETED:
03:20 PM
NARRATIVE
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On March 21, 2024 at 1:45 PM, Licensing Program Analyst (LPA) Laura Villanueva conducted an unannounced Case Management- Licensee Initiated inspection to add a classroom. LPA observed 22 children with 4 staff.

Today's visit was to measure a room to be added to the license. LPA observed children in 3 different classrooms including the room that is pending inspection. LPA counted 9 sleeping children with 1 staff in the room to be added to the child care license. The staff informed LPA that Director and Assistant Director are not present and won't be coming back today. The designation of responsibility designates Director, Amy Vega and Assistant Director, Elizabeth Fox to run the center. The staff present are not designated as a lead teacher or director. LPA called Director on the cell number on file. Director informed LPA that she teaches a class at Moorpark Community College on Tuesday and Thursday from 2:15PM to 3:30PM. Director stated that Assistant Director is usually here, but today she is out sick. LPA informed Director that the classroom that is pending inspection has children napping in it. Director stated that they have been waiting for a year to add this room, so they decided to use it. LPA informed Director that the room is not licensed for children to occupy. LPA informed Director that an office meeting with be scheduled for next week to discuss the deficiency cited today.

Today, Type A deficiency cited under Title 22 Division 12. Appeal rights given. Upon receipt of this report, licensee shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report LIC 809 and LIC 809 D.

THIS REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2024
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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Document Has Been Signed on 03/21/2024 03:11 PM - It Cannot Be Edited


Created By: Laura Villanueva On 03/21/2024 at 02:52 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: MOUNT CROSS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 561709978

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/21/2024
Section Cited
HSC
101215.1(d)(1)

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101215.1 Child Care Center Directors Qualifications and Duties-(d) The child care center director, or the substitute director as specified...during the hours the center is in operation.(1) The child care center directo...interferes with the duties specified in this chapter. This requirement was not met as
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An office meeting will be schedule for next week to discuss the citaion for today's visit.
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Evidenced by: Director and Assistant Director not present during hours of operation. Director works at Moorpark Community College during center operating hours. This poses an immediate health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:George Mingle
LICENSING EVALUATOR NAME:Laura Villanueva
LICENSING EVALUATOR SIGNATURE:
DATE: 03/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/21/2024


LIC809 (FAS) - (06/04)
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