Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426214409
Report Date: 04/18/2018
Date Signed: 04/18/2018 12:45:29 PM

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:VILLAGE VALLEY PRESCHOOLFACILITY NUMBER:
426214409
ADMINISTRATOR:MARIA E. ANGULOFACILITY TYPE:
850
ADDRESS:3346 CONSTELLATION ROADTELEPHONE:
(805) 733-7330
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:23CENSUS: 16DATE:
04/18/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Maria AnguloTIME COMPLETED:
12:55 PM
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An annual random/increase of capacity review was conducted by LPA S. Mendoza-Ceja who met with Licensee Maria Angulo. The center was toured inside and outside. The preschool operates Monday - Friday, 7:45 AM - 5:45 PM. LPA was advised center does not handle medication. The classroom was observed to be clean and orderly. The appropriate documents including the menu was posted for review. LPA reviewed the handout “A Child Care Provider’s Guide to Safe Sleep. There is an operating carbon monoxide detector in the center. The restrooms were observed to clean. The outside playground equipment was observed to be maintained and age appropriate. A random review was conducted of children's records. Staff records were reviewed which included qualifications; immunization against Influenza, Pertussis, and Measles; AB 1207 Child Mandated Reporter Training; and current CPR and First Aid for two staff.

LPA evaluated and measured the two classrooms which meets the requirement for 26 children due to recent alterations of the building. There are three toilets and two sinks available. The playground exceeds the requirement for 30 children. Based on the evaluation of the indoor square footage the center meets the requirement for 26 children. The fire clearance was granted.

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

Licensure for the increase of capacity is effective 04/18/2018. No deficiencies cited.
LPA observed "The Notice of Site Visit" posted.

FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISOR'S NAME: Deborah AjaoTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132 FAX 685-1820
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2018
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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