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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215284
Report Date: 10/04/2024
Date Signed: 10/04/2024 11:16:04 AM

Document Has Been Signed on 10/04/2024 11:16 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:FUSD-MOUNTAIN VISTA PRE SCHOOLFACILITY NUMBER:
566215284
ADMINISTRATOR/
DIRECTOR:		LORENA RAMOSFACILITY TYPE:
850
ADDRESS:918 FIFTH STREETTELEPHONE:
(805) 524-6781
CITY:FILLMORESTATE: CAZIP CODE:
93015
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 22DATE:
10/04/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Oliva LaraTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On 10/04/24, Licensing Program Analyst (LPA) Veronica Diaz conducted an unannounced Required-3 Year inspection. LPA met with site supervisor Oliva Lara and advised them of the purpose of the inspection. Site supervisor provided LPA a tour of the facility inside and out. There were 22 children in care at the time of the inspection along with 4 staff. Center operates M-F 7:30AM-5:30PM.

LPA observed required licensing documents mounted on the walls entering the facility. Last disaster drill was conducted on 09/18/24. The classroom has age-appropriate toys and furniture readily accessible for children in care. LPA observed enough toilets and sinks available for children to use. LPA did not observe any hazards/toxins items accessible to children. First Aid kits were observed in the facility. Currently the facility uses an App called Learning Genie for pictures, updates, and a form of communication to parents. Facility provides breakfast, lunch and snack. The center is a public agency and is in associated with Fillmore Unified School District.

The outdoor playground is shaded and has an ample amount of space for children to play. LPA observed the playground has age-appropriate toys and structures available for children to use.

A sampling of children and staff records were reviewed. LPA observed children's files to be complete and current. Staff mandated reporter certification are all current. LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements.

Continued on 809-C
SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2024
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: FUSD-MOUNTAIN VISTA PRE SCHOOL
FACILITY NUMBER: 566215284
VISIT DATE: 10/04/2024
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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.

Incidental Medical Services (IMS) policy was discussed. This Center currently does not have any children with IMS needs. 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/.

Site supervisor was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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 civil penalty of $100. Exit interview conducted and report was reviewed with the site supervisor Oliva Lara.
No deficiencies were cited.
SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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