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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191225654
Report Date: 06/07/2024
Date Signed: 06/07/2024 02:06:28 PM

Document Has Been Signed on 06/07/2024 02:06 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:WHITE OAK KID'S WORLDFACILITY NUMBER:
191225654
ADMINISTRATOR/
DIRECTOR:		MEGAN TISLERFACILITY TYPE:
840
ADDRESS:31761 VILLAGE SCHOOL RD.TELEPHONE:
(818) 597-9226
CITY:WESTLAKE VILLAGESTATE: CAZIP CODE:
91301
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 13DATE:
06/07/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Katherine ObermanTIME VISIT/
INSPECTION COMPLETED:
02:25 PM
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On June 7 2024 at 1:00 PM, Licensing Program Analyst (LPA) Aaliyah Zendejas conducted an unannounced required 3 year inspection. LPA met with program director, Katherine Oberman (S1) and announced the purpose of the inspection. S1 provided LPA with a tour of the interior and exterior of the facility. At the time of inspection there were 13 children under the care and supervision of 2 staff members. There are 2 rooms that are used for care. LPA checked carbon monoxide alarm at 1:15 PM and was found to be in working condition. There are 2 carbon monoxide detectors in total, one per room.

LPA observed required licensing documents mounted on the walls before entering facility. Last fire drill was conducted on May 13, 2024. The classroom had age-appropriate toys and furniture readily accessible for children in care. LPA observed children's restrooms in a building directly next to the center classrooms. LPA did not observe any hazards/toxins items accessible to children. A First Aid cupboard was locked with medication for children in need of IMS services as well as an extra snack bag for the child, and an additional first aide bag in the other room of the center. Facility provides a snack for the children in care. The outdoor yard is behind the building and has shade for children in care and has an ample amount of space for children to play.

A sampling of children and staff records were reviewed. LPA reviewed 5 children's files and observed children's files to be complete and current. LPA observed staff files to be complete and current. Staff present has current CPR with an expiration date of 8/19/2023. All Staff present have current mandated reporter training certification. LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements for all staff. S1 stated that they have reusable water bottles and water dispensers readily available for children in care.
Con'd on 809-C
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Aaliyah Zendejas
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: WHITE OAK KID'S WORLD
FACILITY NUMBER: 191225654
VISIT DATE: 06/07/2024
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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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.


To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

No deficiencies were cited.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate penalty of $100.

Exit interview conducted and report was reviewed with program director, Katherine Oberman

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Aaliyah Zendejas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2024
LIC809 (FAS) - (06/04)
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