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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215650
Report Date: 09/13/2022
Date Signed: 09/13/2022 03:25:01 PM

Document Has Been Signed on 09/13/2022 03:25 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:EASTER SEALS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
566215650
ADMINISTRATOR:REBECCA KLAMSERFACILITY TYPE:
830
ADDRESS:10730 HENDERSON ROADTELEPHONE:
(805) 647-1141
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 16DATE:
09/13/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Alchai JonesTIME COMPLETED:
03:40 PM
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On September 13, 2022 at 1:01 PM, Licensing Program Analyst (LPA) Austin Rios conducted a Required Annual inspection. LPA met with Education Manager Alchai Jones and advised her the purpose of the inspection. LPA conducted Covid-19 screening questions prior to entering the facility. LPA conducted a tour of the facility inside and out. There were 16 children in care at the time of the inspection with six staff. The center operates from 7:30 AM to 5:30 PM, Monday thru Friday. This is a combination center with a pre-school program and toddler option.

Center uses electronic sign in sheet called childPlus and uses two classrooms for the infant program. The restrooms were found clean and free of toxins. There is a functioning carbon monoxide detector that meets statutory requirement. All required State forms were posted at the entrance and in the classrooms. The outdoor play area is completely fenced and LPA observed age appropriate toys, equipment and shade. Drinking water is available inside and outside. Teacher files reviewed and were found complete with State required forms. Teacher's Medical Health Records verified. Teachers are current with CPR and First Aid which expires 12/2/2022. Children's files reviewed and found complete. Center staff all have completed Mandated Reporter Training. There was a diaper changing table within an arm's reach to the sink. Each child had their infant needs and services plan as well as their own individual feeding plan. The refrigerator had each child's formula, sipping cups, bottles lined up in their own tray and the older infants use mats for nap time. Facility has sufficient amount of cribs and LPA observed no objects hanging above. Facility is conducting fifteen minute check adn documenting it. LPA reviewed sleep log. Changing table was observed to be clean with padding. Classes were both clean and organized during the visit.

Cont on 809C.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2022
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: EASTER SEALS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 566215650
VISIT DATE: 09/13/2022
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The last fire drill was conducted in August 2022.Cribs did not block the entrance and were separated from the rest of the classroom. LPA observed locked storage for where inhaler was located. LPA checked that expiration date has not passed.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022
LIC809 (FAS) - (06/04)
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