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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215987
Report Date: 07/16/2021
Date Signed: 07/16/2021 11:48:48 AM

Document Has Been Signed on 07/16/2021 11:48 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:HILLCREST CHRISTIAN SCHOOLFACILITY NUMBER:
566215987
ADMINISTRATOR:CHERYL CURTISFACILITY TYPE:
850
ADDRESS:449 WILBUR ROADTELEPHONE:
(805) 495-5513
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY: 168TOTAL ENROLLED CHILDREN: 0CENSUS: 25DATE:
07/16/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:53 AM
MET WITH:Cheryl CurtisTIME COMPLETED:
09:53 AM
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On July 16, 2021 at 8:55 AM, Licensing Program Analysts (LPAs) Austin Rios and Francisco Pedroza conducted an unannounced annual inspection. LPAs asked Covid-19 screening questions prior to entering the facility. LPAs met with director Cheryl Curtis and advised her the purpose of the inspection. LPAs conducted a tour of the facility inside and out. There were 25 children in care at the time of the inspection. The center operates from 8:30 AM to 6:00 PM, Monday through Friday for the summer camp. This is a combined center with Infant Program.

Licensing required notices were posted prominently on the wall at the entrance of the facility. The preschool has nine classrooms for care and is currently using three. LPA did not observe any toxins/hazardous items accessible to children. The classrooms have age appropriate toys and furniture available for children. Facility does not currently provide snacks. Children have the option to order lunch from the facility or bring a lunch from home after summer camp ends. The outdoor playground has age appropriate toys and equipment. The playground has an ample amount of shade available. The center has water available for children inside and out. The center does provide incidental medical services. LPA observed where the children medication is stored and secured.Center uses electronic application bright wheel for sign in and sign out.


Continued on 809-C
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE: DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/16/2021
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: HILLCREST CHRISTIAN SCHOOL
FACILITY NUMBER: 566215987
VISIT DATE: 07/16/2021
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A sampling of children and staff records were reviewed and found complete. Teacher's Medical Health Records were verified. Teachers have required qualifications. Teachers present have current Pediatric First Aid/CPR certificates that expire on 02/22/2022. Teachers present have current AB 1207 Mandated Reporter Training certificates that expire on 8/13/2021.

Incidental Medical Services (IMS) policy was discussed and currently the center does have children with IMS. Plan of Operations on file. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
LIC809 (FAS) - (06/04)
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