196216236-7-27-2023-17-CC-SMAZ-CU5PND-20230727112746

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 196216236
Report Date: 07/27/2023
Date Signed: 07/27/2023 11:27:50 AM

Document Has Been Signed on 07/27/2023 11:27 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:	CALVARY WESTLAKE EARLY EDUCATION CENTER		FACILITY NUMBER:	196216236
ADMINISTRATOR:	ELAINA WHITE		FACILITY TYPE:	850
ADDRESS:	5495 VIA ROCAS		TELEPHONE:	(818) 991-8040
CITY:	WESTLAKE VILLAGE	STATE: CA	ZIP CODE:	91362
CAPACITY: 45	TOTAL ENROLLED CHILDREN: 45	CENSUS: 0	DATE:	07/27/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Stephanie Carver		TIME COMPLETED:	11:42 AM

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On July 27, 2023 Licensing Program Analysts (LPA’s) Susana Martinez and Rosie Breault conducted an unannounced required-1 year inspection and an increase in capacity. LPA’s met with site director Stephanie Carver and advised her of the purpose for the inspection. Together with the site director, LPA’s toured the facility inside and outside. At the time of the inspection there were no children in care. No bodies of water were observed at the time of inspection.

The center is currently closed for the summer and will re-open on 8/21/23. Center hours are M-F 8:30 AM- 5 PM. Site director states children bring snacks and lunches from home. LPA observed required licensing documents mounted on the wall at the entrance of the facility. Last fire drill was conducted on 5/19/2023. Each of the classrooms have age-appropriate toys and furniture readily accessible for children in care. LPA did not observe any hazards/toxins items accessible to children. First Aid kits were observed throughout the facility.

A sampling of 5 children and 3 staff records were reviewed. LPA observed 5 out of 5 children's files to be complete and current. Staff's CPR/First Aid certificates are current with an expiration date of 9/2024. One out of three staff files was observed to be missing the mandated reporter certification. LPA reminded site supervisor that every employee should have a valid mandated reporter certification which expires every 2 years. LPA provided the mandated reporter certification website and advised for all employees to complete the training prior to re-opening on August 21, 2023.

The center submitted an application to increase the capacity from 45 to 81 children. The center has added two rooms, in total the center will be using 5 rooms for childcare. Classrooms were observed to be clean and free of toxins. Age appropriate toys and learning materials were observed in each room.

The facility has 5 toilets, 1 urinal and 7 sinks. The outdoor activity space has ample amount of space and has sufficient shade.

Continued on 809-C

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023

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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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: CALVARY WESTLAKE EARLY EDUCATION CENTER	FACILITY NUMBER: 196216236
	VISIT DATE: 07/27/2023

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A fire clearance was granted by the Los Angeles County Fire Department on 6/19/2023.
To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Site director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

CCC COMPLETED SAMPLING BUT THE TEST RESULTS ARE NOT YET AVAILABLE.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) 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/.

Based on square footage of the indoor and outdoor spaces, sinks, and toilets the center meets Title 22 Division 12 requirements for a capacity of 81 children.

A technical violation was issued today regarding the missing mandated reporter certificate.

No deficiencies were issued during today's inspection.

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

Exit interview conducted and report was reviewed with the site director Stephanie Carver.

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023

LIC809 (FAS) - (06/04)

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