Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566212190
Report Date: 03/22/2016
Date Signed 03/22/2016 05:36:41 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:CAMARILLO BRANCH - CAMARILLO FAMILY YMCAFACILITY NUMBER:
566212190
ADMINISTRATOR:MARGE CASTELLANOFACILITY TYPE:
840
ADDRESS:3111 VILLAGE AT THE PARK DR.TELEPHONE:
(805) 484-0423
CITY:CAMARILLOSTATE: CAZIP CODE:
93012
CAPACITY:30CENSUS: 14DATE:
03/22/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
04:25 PM
MET WITH:Paige Harris, Community Program DirectorTIME COMPLETED:
05:46 PM
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LPA Stacie Merkes made an unannounced visit for the purpose of conducting a Random Annual visit. LPA met with Paige Harris, Community Program Director and explained the purpose of the visit. A tour of the indoor and outdoor activity area was conducted. The center will operate from 6:45 a.m. to 9:30 a.m. and from 12:30 p.m. to 6:30 p.m. Monday through Friday. Ms. Harris explained they use the gym, the blacktop area, and the Studio for child care and alternate spaces that may are used for other activities so they do not commingle.

Cleaning products are stored in a locked cabinet that is inaccessible to children. The center had a CO2 detector installed and the fire department was out for an inspection in January. The center serves an afternoon snack and snacks are properly stored in an office area. Drinking water is available indoors by means of drinking fountains. Water is taken outdoors in an igloo type container. The outdoor activity area was found to be free of hazards. The gate and all doors leading to the swimming pool are maintained locked and are inaccessible to children at all times. The center has hooks outside for children's backpacks. The shade canopy for outdoor shade was recently damaged due to weather however the center has some pop-up tents if needed prior to the canopy being replaced. Children are escorted to the rest-room at all times. Staff ensure that there is no other person in the rest-room before the children enter. Staff remain outside the rest-room door to ensure the public does not enter while center children are using the rest-room. Sign in/out sheets were reviewed.

Medication is not currently being administered to children enrolled; Per Ms Harris children with a need administer their own EpiPens and or Inhalers. Proper procedures for administering medication and storage of medication to be maintained in a locked box was discussed.

Children's and staff records were reviewed. LPA verified that at least one staff present was current with CPR/First Aid.

No deficiencies were cited during this visit.
SUPERVISOR'S NAME: Patricia S. GutierrezTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Stacie MerkesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2016
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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