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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216017
Report Date: 07/16/2021
Date Signed: 07/16/2021 12:43:25 PM

Document Has Been Signed on 07/16/2021 12:43 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:HILLCREST CHRISTIAN PRESCHOOLFACILITY NUMBER:
566216017
ADMINISTRATOR:CHERYL CURTISFACILITY TYPE:
830
ADDRESS:449 WILBUR ROADTELEPHONE:
(805) 497-7501
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91362
CAPACITY: 38TOTAL ENROLLED CHILDREN: 0CENSUS: 9DATE:
07/16/2021
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:54 AM
MET WITH:Cheryl CurtisTIME COMPLETED:
10:54 AM
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On July 16, 2021 at 9:54 AM, Licensing Program Analysts (LPAs) Francisco Pedroza and Austin Rios conducted an unannounced Annual/Random inspection. Prior to entering the facility, LPA's contacted the facility and conducted the Covid-19 screening questions. LPAs met with facility Director Cheryl Curtis and explained the purpose of the inspection. Director provided LPAs a tour of the facility inside and out. The facility currently had nine (9) infants in care at the time of the inspection. The center operates from 7:00 AM to 5:30 PM, Monday thru Friday. This is a combined center with an preschool program.

Licensing required notices were posted prominently on the wall at the entrance of the facility. There was one (1) staff supervising four (4) infants in one classroom and one (1) staff supervising five (5) toddlers in another classroom. LPA's observed each classroom had age appropriate toys and furnishings. Both classrooms had a changing table with a sink readily accessible. LPAs observed enough cribs for the infants in care. Facility had the required current sleep logs for each child. Food and milk is stored within the refrigerator located in the classroom. LPA reviewed a sampling of Individual needs & services plans and feeding plans. Children bottles and food were properly labeled with child's name and date. Faciltiy uses a red band to identify breast milk from formula. LPA did not observe any toxins/hazardous items accessible to children.

Continued on 809C
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
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 PRESCHOOL
FACILITY NUMBER: 566216017
VISIT DATE: 07/16/2021
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Center uses the electronic application Brightwheel to sign children in and out of the facility. A sampling of children and staff records were reviewed. Teachers have required qualifications. Teachers present have current Pediatric First Aid/CPR certificates that expire on 2/20/2022. Teachers present have current AB 1207 Mandated Reporter Training certificates that expire on 8/13/2021. LPAs verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements. Facility is following current Covid-19 and Safe Sleep guidelines.

Incidental Medical Services (IMS) policy was discussed. 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.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
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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