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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566207695
Report Date: 09/02/2022
Date Signed: 09/02/2022 12:06:08 PM

Document Has Been Signed on 09/02/2022 12:06 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:VUSD - E.P. FOSTER JUMPSTART STATE PRE-SCH PROGRAMFACILITY NUMBER:
566207695
ADMINISTRATOR:PAM SCHEIERFACILITY TYPE:
850
ADDRESS:20 PLEASANT PL.TELEPHONE:
(805) 641-5420
CITY:VENTURASTATE: CAZIP CODE:
93001
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 17DATE:
09/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:28 AM
MET WITH:Pam ScheierTIME COMPLETED:
12:18 PM
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On September 02, 2022 at 9:40 AM, Licensing Program Analyst (LPA) Rona Chavez conducted an unannounced Annual/Random inspection. LPA met with facility Site Supervisor Pam Scheier and advised her the purpose of the inspection. Supervisor provided LPA a tour of the facility inside and out. There were 17 children in care with three (3) staff and one (1) parent volunteer providing supervision.

LPAs observed required licensing documents mounted on the wall at the entrance of the facility. LPA observed a facility menu posted on the wall. LPA observed working carbon monoxide detector in the classroom. The last fire drill was logged on 4/8/22. The center provides breakfast for the morning class and lunch for the afternoon class. Food is provided by the school cafeteria. The facility has designated restroom for the preschool children only with enough restrooms available for the children in care. LPA did not observe any hazards/toxins items accessible to children. The classroom has age-appropriate toys and furniture readily accessible for children in care. The outdoor playground has an ample amount of space for children to play. LPA observed the playground has age appropriate toys and structures available for children to use. The facility has water available for children inside and out.

Center uses handwritten sign-in and sign-out logs. A sampling of children and staff records were reviewed. Currently the facility does not have children that require Incident Medical services (IMS). Teachers have required qualifications. Teachers present have current Pediatric First Aid/CPR certificates that expire on 12/09/2022. Teachers present have current AB 1207 Mandated Reporter Training certificates that expire on 10/6/2023. LPAs verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements. The facility is following current Covid-19 guidelines.

No deficiencies were cited during today's inspection.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Rona Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 09/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/02/2022
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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