406213676-8-26-2021-17-CC-EBAY-C69V37-20210826160417

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406213676
Report Date: 08/26/2021
Date Signed: 08/26/2021 04:04:26 PM

Document Has Been Signed on 08/26/2021 04:04 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 - CAMBRIA CHILDREN'S CENTER		FACILITY NUMBER:	406213676
ADMINISTRATOR:	A. RAMIREZ-BARRON		FACILITY TYPE:	850
ADDRESS:	1350 MAIN STREET		TELEPHONE:	(805) 927-0830
CITY:	CAMBRIA	STATE: CA	ZIP CODE:	93428
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 0	CENSUS:	DATE:	08/26/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Tala Romero		TIME COMPLETED:	04:00 PM

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On 8/26//21, at 2:00 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection the abovementioned Child Care Center (CCC). LPA met with Tala Romero, Site Supervisor of the CCC. LPA in the company of the Site Supervisor toured the interior and exterior of the CCC. The CCC is on the grounds of the Coast Union School District and operates from 8:00 AM to 4:00 PM, Monday - Friday. The CCC uses three classrooms (Classroom Room A- ages 4 years old, Classroom B- ages 3 years old and the Toddler Classroom- ages 2 years of old) for child care. LPA observed a total of 24 children on site during the inspection along with 6 teachers.

LPA observed all three of the CCC's classrooms to be clean and organized. Age appropriate toys ,equipment and furnishings are observed in each classroom. LPA observed carbon monoxide detectors in each classroom. At 3:15 the carbon monoxide detector in the Toddler classroom was tested and found to be operable. LPA observed all restroom used by children in care to be in safe and sanitary operating condition. An operable refrigerator is located in the CCC's office area. Site Supervisor informed LPA the refrigerator stores food items for children in care which are shipped the CCC's for a centralized food preparation site in San Luis Obispo. Likewise, breakfast, lunch and snacks are provided by the CCC and LPA observed CCC menus in the facility's classrooms.Children also have the ability to access water inside and outside of the classroom.

LPA observed disinfectants, cleaning solutions and medications stored on elevated shelves in classroom cabinets which are beyond the reach of children in care. Sharps in the classrooms are located in secure locations near the teacher desk. Each location is inaccessible to children in care,

The CCC outdoor play areas are enclosed enclosed by chain linked fencing. The play yard entry/exit gates are secured. LPA observed age appropriate toys and play equipment in the play areas. LPA observed the toys and play equipment in the play area to be in suitable condition and free of sharp, loose or pointed objects. Site Supervisor is reminded to remove toys and play equipment from the play areas when the aforementioned becomes inappropriate for use. LPA observed a total of five sheds in the play areas which

(CONT.809-C)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021

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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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 - CAMBRIA CHILDREN'S CENTER	FACILITY NUMBER: 406213676
	VISIT DATE: 08/26/2021

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contain CCC supplies. The play structures in the area have adequate cushioning to absorb falls in the form of wood chips. The outdoor area has shade created by shade covers, trees and building overhangs.

LPA observed licensing required notices and documents posted predominately on the wall in each classroom. LPA reviewed sign in/sign out documents in the classroom. All forms reviewed are found to be completed appropriately.

A sampling of staff and children's records are reviewed. The children’s records are complete and found to contain emergency contact information as well as immunizations. Staff records are reviewed and contained current pediatric First Aid/CPR certifications as well as certifications for Mandated Reporter. Director informed LPA no firearm or ammunition is stored on the premises.

This facility does provide Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

LPA discussed COVID 19 guidance and best practices with the Site Supervisor. Site Supervisor is reminded that it is Site Supervisor responsibility to know the regulations for a CCC which can be accessed on-line at www.ccld.ca.gov.

In areas evaluated, there were no deficiencies cited at this time.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021

LIC809 (FAS) - (06/04)

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