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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214141
Report Date: 08/25/2021
Date Signed: 08/25/2021 12:31:06 PM

Document Has Been Signed on 08/25/2021 12:31 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:EASTER SEALS VENTURA CDCFACILITY NUMBER:
566214141
ADMINISTRATOR:REBECCA KLAMSERFACILITY TYPE:
850
ADDRESS:10730 HENDERSON ROADTELEPHONE:
(805) 647-1141
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY: 122TOTAL ENROLLED CHILDREN: 0CENSUS: 68DATE:
08/25/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Anna IzaguirreTIME COMPLETED:
12:45 PM
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On August 25, 2021 at 11:01 AM, Licensing Program Analyst (LPA) Austin Rios conducted a Required Annual inspection. LPA met with director Anna Izaguirre and explained the purpose of the inspection. LPA asked Covid-19 screening questions prior to entering the facility. LPA conducted a tour of the facility inside and out. There were 68 children in care at the time of the inspection and twelve staff. The center operates from 6:30 AM to 6:30 PM and is open Monday thru Friday.

Licensing required notices were posted prominently on the wall in the classrooms. The facility uses six classrooms. Bathrooms were observed to be clean and free of toxins. There is water inside and outside for the children to have access too. The outdoor playground is completely enclosed by a fence. The playground has an ample amount of shade available and age appropriate toys/equipment. LPA did not observe any toxins/hazardous items accessible to children. The classroom has age appropriate toys and furniture available for children. There is a functioning carbon monoxide detector that meets statutory requirement. LPA observed and reviewed the posted lunch menu. The center provides lunch as well as breakfast, lunch,and afternoon snack.

Center uses electronic sign in sheet called childPlus.



Continued on 809-C
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2021
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: EASTER SEALS VENTURA CDC
FACILITY NUMBER: 566214141
VISIT DATE: 08/25/2021
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A sampling of children and staff records were reviewed and found current. Teachers present have current Pediatric First Aid/CPR certificates that expire on 7/28/2023. Teachers present have current AB 1207 Mandated Reporter Training certificates that expire on 5/13/2022.

Incidental Medical Services (IMS) policy was discussed and currently the center does have two children with IMS. Plan of Operations on file. 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.

No deficiencies were cited during today's visit.
THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
LIC809 (FAS) - (06/04)
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