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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561710890
Report Date: 10/16/2024
Date Signed: 10/16/2024 10:33:25 AM

Document Has Been Signed on 10/16/2024 10:33 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:PLEASANT VALLEY CHRISTIAN SCHOOLFACILITY NUMBER:
561710890
ADMINISTRATOR/
DIRECTOR:		THERESA FLOYDFACILITY TYPE:
850
ADDRESS:1101 PONDEROSA DRIVETELEPHONE:
(805) 484-1188
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY: 63TOTAL ENROLLED CHILDREN: 63CENSUS: 51DATE:
10/16/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:50 AM
MET WITH:Janet DanielsenTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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On 10/16/24, at 7:50 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Three Year Required inspection of the abovementioned Child Care Center (CCC). LPA met with Janet Danielsen, Director of the CCC. LPA explained the purpose and nature of the inspection. The facility is located on the grounds of Pleasant Valley Bible Church of Camarillo and Pleasant Valley Christian School. The Preschool operates Monday – Friday 7:30 AM – 5:00 PM. The facility uses five classroom for child care services; Dino Room (2.9 to 3 years of age), Duck Room (3 years of age), Monkey Room (4 years of age), Owl Room (Pre Kindergarten age) and the Lion Room (Transitional Kindergarten age). At the time of inspection, LPA observed 51 children on site, along with 10 teachers (cleared and associated). The CCC's Director is assisting with the care and supervision of children on site.

The CCC is clean and orderly. LPA observed required licensing forms and documents posted at the front entry of the CCC. The CCC has posted schedules of activities as well as menus affixed to classroom walls. LPA observed the CCC's Sign In/Out forms at the entry of each classroom. The forms contained the arrival and departure times of children in care and well as the signatures of the children's authorized representatives. Each classrooms of the CCC has age appropriate equipment and furnishings available for children in care. LPA also observed waste receptacles throughout the CCC with thigh fitting lids. The CCC has multiple carbon monoxide detectors throughout the center. At 8:41 AM, a carbon monoxide detector was tested in the Owl Room and found to be operable.

The CCC uses a total of three restrooms (one attached to two classrooms and two near the CCC's office). All restrooms are in safe and sanitary operating condition. The CCC has a refrigerator in the church's portion of the building. The refrigerator is capable of storing food and beverages for children in care. Lunches and snacks are provided by the parents of children in care. The CCC has supplemental food on site for children should the need arise. Children also have the ability to receive (purchase) lunch from the neighboring school. The CCC has available drinking water for children inside and outside of the facility. CCCs constructed before 1/1/20, to test their water (used for drinking and food preparation) for (CONT. LIC 809-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2024
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: PLEASANT VALLEY CHRISTIAN SCHOOL
FACILITY NUMBER: 561710890
VISIT DATE: 10/16/2024
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lead contamination before 1/1/23, and then every 5 years, after the date of the first test. For CCC licenses issued after 7/1/22, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Disinfectants and cleaning solutions are stored in a centralized location (secure lobby cabinet) which is inaccessible to children in care. Medication is located in the Director's Office. Sharps and cleaning compounds in the classroom are in locations which are accessible to staff members, but inaccessible to children in care. Each classroom has a Fist Aid Kit.



The CCC outdoor playground areas are enclosed by wrought iron fencing. The fence’s entry/exit gates are secured. The surfaces of the outdoor playground areas are varied. LPA observed two shed in the outdoor area which contains CCC's supplies. The sheds are secured. LPA observed age appropriate play equipment in the play areas. The play equipment is free of sharp, loose or pointed objects. The play structures in the outdoor playground areas have adequate cushioning materials to absorb falls and shade created by building overhangs and large trees. LPA reminded Director to replace outdoor play equipment and furnishings when such items begin to degrade or are not in good repair. LPA observed no bodies of water at the CCC.

LPA reviewed children, staff and facility records. The children’s records sampled were complete and found to contain emergency contact information and immunization records, among other required licensing documentation and forms. Staff records were reviewed. Staff records sampled were complete and found to contain First Aid/CPR certifications (EMSA approved) and Mandated Reporter Training certification, among other required licensing documentation and forms. LPA notes the last disaster drill at the facility occurred on 9/25/24. No firearms or ammunition are stored on site.

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/.
(CONT. LIC 809-C, Page 3)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024
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: PLEASANT VALLEY CHRISTIAN SCHOOL
FACILITY NUMBER: 561710890
VISIT DATE: 10/16/2024
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Facility representative was reminded that all adults 18 and over, including employees and volunteers,
as specified in HSC 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.

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.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility representative Janet Danielsen.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024
LIC809 (FAS) - (06/04)
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