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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216525
Report Date: 02/02/2023
Date Signed: 02/02/2023 12:38:54 PM

Document Has Been Signed on 02/02/2023 12:38 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:VILLEGASFACILITY NUMBER:
566216525
ADMINISTRATOR:CARMEN VILLEGASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 890-7341
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/02/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:33 AM
MET WITH:Carmen VillegasTIME COMPLETED:
12:53 PM
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On 2/2/2023 at 11:33 AM Licensing Program Analyst (LPA) Austin Rios met with licensee Carmen Villegas for the purpose of conducting a change of capacity and a change of location pre-licensing inspection. Previous facility number was 566215804. Licensee had no children in care at the time of the inspection. Together the LPA and licensee toured the home inside and outside.

The home is a four bedroom two and a half bathroom single story residence. The licensee uses the living room, play room, kitchen, dining room, one restroom, and backyard for the day-care but for now will only be using side yard and patio in the middle of the house. LPA observed all bedroom doors are locked making it inaccessible to children in care as well as the garage door. There are no bodies of water in the home. Licensee stated there is no firearms in the home. On 1/27/2023 Ventura County Department conducted an inspection and fire clearance was granted. The 2A10BC regulation fire extinguisher was observed in the kitchen with a service date of 6/1/2022. Toxins and hazards are inaccessible to the children. Home is clean and orderly. There are age appropriate toys and day-care equipment in the home LPA advised licensee must provide visual supervision while the children are playing both inside the home and outside in the yard. Licensee First Aid/CPR certificate is valid until 6/2023. Licensee mandated reported training valid until 7/7/2023. The home has a functioning smoke alarm and carbon monoxide detector that was tested during the visit.

LPA discussed and verified SB 792 (Child Care Employee and Volunteer: Immunization and Tuberculosis Requirements). Licensee was informed walkers, bouncers and any similar object that restricts children's movement are prohibited from licensed facilities. LPA reminded licensee of safe sleep regulations to follow and to continue monitoring the CCLD website at www.ccld.ca.gov for updates.

Facility license will be a large family childcare effective today, 2/2/2023 for a capacity of 14 children.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2023
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: VILLEGAS
FACILITY NUMBER: 566216525
VISIT DATE: 02/02/2023
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A copy of this report was reviewed and provided to the licensee.

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: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023
LIC809 (FAS) - (06/04)
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