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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216180
Report Date: 12/04/2023
Date Signed: 12/04/2023 02:22:25 PM

Document Has Been Signed on 12/04/2023 02:22 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:CDR - RANCHO CAMPANA CENTERFACILITY NUMBER:
566216180
ADMINISTRATOR:DARLENE GOODRICHFACILITY TYPE:
850
ADDRESS:4235 MAR VISTA DR.TELEPHONE:
(805) 826-4156
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 28DATE:
12/04/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Darlene GoodrichTIME COMPLETED:
02:40 PM
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On December 4th 2023, Licensing Program Analyst (LPA) Rosie Breault conducted an announced Case Management visit. LPA met with site supervisor Darlene Goodrich and discussed the purpose of the inspection. The facility is located on the grounds of Rancho Campana High School.

On September 5th, 2023, licensee applied for a toddler component addition to the preschool program. Licensee applied for a capacity of 8 toddler children aged 18 months – 36 months.

The preschool program operates Monday – Friday 8:00AM – 2:00PM and utilizes classrooms “F” and “G”. The toddler program will operate Monday – Friday 7:30AM-5:30PM and utilize classroom “T”. Preschool and toddler program do not share classrooms or outdoor play area.

Site supervisor stated parents/authorized representatives use the ChildPlus app for purposes of signing in and out. LPA observed toddler classroom to contain age-appropriate toys and equipment, ample ventilation, drinking water, two sinks and one toilet available for use. LPA observed first aid kids and carbon monoxide was tested and functioning at the time of the inspection. Fire extinguisher was last services on 3/6/2023. Site supervisor stated all meals and snacks are provided to children and LPA observed kitchen to be clean, orderly, function and free of rodents. Children will nap on mats/ cots and LPA reminded site supervisor that facility is to adhere to Safe Sleep Regulations at all times. LPA reminded site supervisor parents to give permission for the placement of their children in the toddler program.

The outdoor area is contained by permitter fencings, and includes soft padding to absorbs falls, age-appropriate toys and equipment, water available, and ample shade. No bodies of water were present at the time of the inspection.

Site supervisor 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.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE: DATE: 12/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2023
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CDR - RANCHO CAMPANA CENTER
FACILITY NUMBER: 566216180
VISIT DATE: 12/04/2023
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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.

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

Ventura County Fire Department conducted an inspection on 11/9/2023 cleared facility for childcare. Toddler classroom area measures a total of 384.63 sq. ft which accommodates licensee’s requested capacity. Outdoor play area measures a total of 1244.60 sq ft. which accommodates licensee’s requested capacity.

Toddler option addition pending manager approval.

No deficiencies were cited during today’s inspection.

Exit interview conducted and report was reviewed with site supervisor Darlene Goodrich

Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023
LIC809 (FAS) - (06/04)
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