Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214244
Report Date: 08/25/2016
Date Signed 08/25/2016 10:28:14 AM

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:VENTURA BRANCH - FAMILY Y JUNIOR HIGH PROGRAMFACILITY NUMBER:
566214244
ADMINISTRATOR:SARAH ABRAMSFACILITY TYPE:
840
ADDRESS:3760 TELEGRAPH RD.TELEPHONE:
(805) 642-2131
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:18CENSUS: 0DATE:
08/25/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Julie O'Brien, Youth Programs DirectorTIME COMPLETED:
10:35 AM
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(2) LPA Stacie Merkes conducted an unannounced site visit at this Child Care Center for the purpose of a Random annual review. LPA Merkes met with Ms O'Brien and together a tour of the facility was conducted inside and out. There were no children present when LPA arrived. Ms O'Brien is the program director over the four Ventura Branch sites in Ventura unified school district area as well as the Site supervisor for this site. The other three sites have a site supervisor as well.

The emergency fire drill log is maintained in the office and drills are conducted twice a year; in the spring and fall. Per Ms O'Brien they are not currently handling medications however if there is a need they have a locked medication box in the classroom. LPA discussed Incidental Medical Services (IMS) and provided some information.

Fire Extinguisher is inspected annually as well as detectors; last inspected and tagged on July of this year. There were no hazards or toxins observed in the classroom. The cleaning supplies are locked in a file cabinet. The restroom is located outside of the classroom and LPA verified staff maintain a visual line of site when children us the restroom.

After school, the children escort themselves to the gate between the facility and the school and staff sign them in. Parent sign out with full legal signature and time out. The children use the middle school play yard that is adjacent to the center for outside play. The staff use walkie/talkies to communicate when parent arrive for pick up etc. There is always two staff members present with the children.

Children's and staff files were reviewed. LPA verified that staff are current with CPR and First Aid certifications.

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

DATE: 08/25/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2016
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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