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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566207355
Report Date: 03/16/2023
Date Signed: 03/16/2023 01:58:17 PM


Document Has Been Signed on 03/16/2023 01:58 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:CAMP AMGENFACILITY NUMBER:
566207355
ADMINISTRATOR:JENNIFER MCHUGHFACILITY TYPE:
850
ADDRESS:855 VENTU PARK RD.TELEPHONE:
(805) 447-6793
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91320
CAPACITY:324CENSUS: 108DATE:
03/16/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:31 PM
MET WITH:Jennifer McHughTIME COMPLETED:
02:15 PM
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On March 16, 2023 at 12:31 PM, Licensing Program Analysts (LPAs) Susana Martinez and Giovani Gonzalez conducted a Case Management - Other inspection. LPAs met with Executive Director Jennifer McHugh and advised her the purpose of the inspection. Together LPAs and director toured the facility inside and outside. At the time of inspection there were 108 children and 18 staff were present. During the inspection LPAs did not observe any toxins accessible. No bodies of water were observed.

On March 16, 2023 at 10 AM, LPA's conducted an inspection to initiate a complaint involving water temperatures. The allegations stated staff do not ensure there is hot water available in faucets used for food services. LPAs interviewed director who stated they are aware there are water temperature issues in two rooms labeled as Caribou and Orca. LPAs asked how long this issue had been going on for. Director stated that issue has been present as of a week ago. LPAs asked if the issue had been reported to Licensing. Director stated that they did not report the issue. LPAs asked why it wasn't reported. Director stated there was no reason it had not been reported. LPAs asked if director was aware that the issue needed to be reported to Licensing. Director stated that they were not aware.

LPA's advised director that the nature of the complaint was considered an unusual incident that is required by regulation, CCL must be informed with 24 business hours of the incident. Director advised that she understood.
A technical violation was issued on the attached LIC9102.

Web site address to obtain forms, review quarterly updates, review Title 22 & Health & Safety Codes is: https://www.cdss.ca.gov/inforesources/child-care-licensing
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:
DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/16/2023
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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