Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214244
Report Date: 02/07/2018
Date Signed 02/07/2018 02:52:56 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:VENTURA BRANCH - FAMILY Y JUNIOR HIGH PROGRAMFACILITY NUMBER:
566214244
ADMINISTRATOR:JULIE O'BRIENFACILITY TYPE:
840
ADDRESS:3760 TELEGRAPH RD.TELEPHONE:
(805) 642-2131
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:18CENSUS: 0DATE:
02/07/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Julie O'BrienTIME COMPLETED:
03:11 PM
NARRATIVE
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Licensing Program Analyst (LPA) Mingle made an announced visit in order to conduct an Annual/random review and met with the program director, Ms. Julie O'Brien. The purpose of the visit was discussed and a tour of the facility was conducted. The center is located inside the Ventura Family YMCA. There is one classroom used for the after school program. There were no children in care when LPA arrived. Ms. O'Brien stated that children normally start coming in from 3:15 P.M. and 1:30 P.M. on Fridays.
LPA toured the class and found it free of hazards. There were age appropriate tables and chairs for the school age children. There was also drinking water available. Cleaning supplies and detergents were kept outside the classroom. LPA observed an updated menu posted in plain view for authorized representatives. Ms. O'Brien stated that the children uses the playground at the Anarcapa Middle School. There was a drinking fountain outside the room used for the program. Bathroom used for the program was located at the hallway for both sexes but not simultaneously. Ms. O'Brien stated that staff walk children over and ensure usage of bathroom.
Staff files reviewed had proof of immunization as mandated by SB792(Mendoza). Ms. O'Brien had a current CPR/First aid certification present which will expire on 6/8/2018.
All staff have completed Mandated Reporter Training as mandated by AB 1207. LPA discussed Pesticide Training.Staff have completed pesticide training.
Children files reviewed have identification and emergency information. Ms. O'Brien stated there were no children on prescribed medication.
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

There were no deficiencies cited for today's visit.

SUPERVISOR'S NAME: Patricia S. GutierrezTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: George MingleTELEPHONE: 805-562-0400
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2018
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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