Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566209597
Report Date: 03/08/2017
Date Signed 03/08/2017 12:18:59 PM

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:CDR - JULIE IRVING HEAD START CENTERFACILITY NUMBER:
566209597
ADMINISTRATOR:SUZANNE GODINEZFACILITY TYPE:
850
ADDRESS:231 VENTURA BLVD.TELEPHONE:
(805) 485-7878
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY:48CENSUS: 39DATE:
03/08/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:46 AM
MET WITH:Janet FlemingTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Michael Avila made an unannounced site visit for the purpose of conducting a Random Annual visit. The purpose of the visit was discussed with the Site Supervisor, Janet Fleming and a tour of all indoor and outdoor activity spaces was conducted.

The facility utilizes 2 classrooms for the preschool age children and a separate classroom for the toddler component.

No toxins nor hazards were observed accessible to children in care. There is a medication box that is kept in a locked file cabinet in the office. Furniture and equipment is in safe condition. The indoor and outdoor activity space was observed to be safe and free of hazards. All toilets and hand washing facilities are clean and in sanitary operating condition. Floors are clean and safe. The kitchen and food storage areas are clean. Trash containers have tight-fitting covers. There is drinking water readily available inside the classrooms and in the outdoor activity area by means of water fountains. There is a rubberized cushioning material around and under climbing play equipment and all materials and surfaces are toxic free. Outdoor activity area is free of hazards.

CPR and First Aid certificates are current for staff present. Sign in/out sheets meet requirements. The menu is posted in a visible location for parents view.

Incidental Medical Services Plan of Operation Requirements was discussed with the director no children in care are currently receiving incidental medical services at this time.

Children's and staff files reviewed were found complete.

No deficiencies were cited during today's visit.
SUPERVISOR'S NAME: Patricia S. GutierrezTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2017
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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