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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406209816
Report Date: 09/25/2024
Date Signed: 09/25/2024 12:59:47 PM

Document Has Been Signed on 09/25/2024 12:59 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:CAPSLO-WILLIAM "BILL" CASTELLANOS CCCFACILITY NUMBER:
406209816
ADMINISTRATOR/
DIRECTOR:		ROSA AVILAFACILITY TYPE:
850
ADDRESS:525 NORTH THOMPSON AVENUETELEPHONE:
(805) 929-0016
CITY:NIPOMOSTATE: CAZIP CODE:
93444
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 16DATE:
09/25/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Rosa Avila, Site Supervisor TIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On September 25, 2024, at 9:!5 AM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced annual inspection at the above Child Care Center (CCC). The purpose of the inspection was discussed with Site Supervisor, Rosa Avila who provided a tour of the facility. The CCC operates from Monday to Friday, 6:00 AM to 4:00 PM, CCC provides care to children ages 18 months to 5-years of age. The CCC operates year round and also provides services to migrant families from months of April to October.

During the tour LPA observed the following: The CCC uses 3 classrooms, Preschool 1 classroom, Toddler 1 and Toddler 2 classrooms. There were total of 16 children and 8 staff including the Site Supervisor. The classrooms were observed to be clean, organized and fully equipped with age-appropriate chairs, tables, toys, cots, activity materials. Each classroom has 2 toilet bowls and 4 sinks, for children’s use. The toddler rooms include changing tables stationed close to faucet within arm’s reach.

The CCC had water available for children inside and outside the classroom supplied water a company and placed in a water dispenser.

Various drills such as Missing Child drill, fire, earthquake, shelter-in-place and enhanced lockdown drills are performed in the CCC in monthly basis. CCC also participates in the Nipomo High School disaster drill.

Continued on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: CAPSLO-WILLIAM "BILL" CASTELLANOS CCC
FACILITY NUMBER: 406209816
VISIT DATE: 09/25/2024
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A sampling of children and staff records were reviewed. Children’s files were found complete. Staff members are checking and documenting napping toddlers age 18 months to 24 months every 15 minutes. Teachers present have current Pediatric First Aid/CPR certificates that expire on 6/19/2025. Teachers have renewed the Mandated Reporter Training which expire on 6/26/2026. All staff members have completed the Health Screening including the tuberculosis clearance. LPA verified the teachers qualifications such as Child Development Site Supervisor and Teachers Permits.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.



Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
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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: CAPSLO-WILLIAM "BILL" CASTELLANOS CCC
FACILITY NUMBER: 406209816
VISIT DATE: 09/25/2024
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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP

LPA discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.



Incidental Medical Services (IMS) policy was discussed. The CCC is not providing IMS. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/. PIN 22-05-CCP Page Five

Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
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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: CAPSLO-WILLIAM "BILL" CASTELLANOS CCC
FACILITY NUMBER: 406209816
VISIT DATE: 09/25/2024
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Site Supervisor was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

During today’s inspection, no deficiencies were cited under Title 22 Division 12 and Health and Safety Code.

Notice of site visit was given and must remain posted for 30 days.

During the exit interview, Site Supervisor, Rosa Avila confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.


Exit interview conducted and report was reviewed with Site Supervisor, Rosa Avila
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
LIC809 (FAS) - (06/04)
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