<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406213676
Report Date: 05/14/2024
Date Signed: 05/14/2024 01:20:45 PM

Document Has Been Signed on 05/14/2024 01:20 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 CENTERFACILITY NUMBER:
406213676
ADMINISTRATOR/
DIRECTOR:		A. RAMIREZ-BARRONFACILITY TYPE:
850
ADDRESS:1350 MAIN STREETTELEPHONE:
(805) 927-0830
CITY:CAMBRIASTATE: CAZIP CODE:
93428
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 24DATE:
05/14/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Tala RomeroTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 5/14/24, at 10:45 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Annual/Random 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 4:15 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 services. At the time of the inspection, LPA observed a total of 24 children on site along with six teacher. LPA notes Site Supervisor assist with the care and supervision of children on site.

LPA observed the CCC's classrooms to be clean and organized. LPA observed age appropriate toys, equipment and furnishings in each classroom. LPA observed carbon monoxide detectors in each classroom. At 11:41 AM, a carbon monoxide detector in the Toddler classroom was tested and found to be operable. LPA observed all restrooms used by children in care to be in safe and sanitary operating condition. An operable refrigerator is located in the CCC's office area. LPA observed the refrigerator to stores food items for children in care. Site Supervisor informed LPA meals are prepared on site. LPA notes the CCC provides children in care breakfast, lunch and snacks. LPA observed CCC menus in each classrooms. Children have available (filtered) water inside and outside of the classroom. 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 child care 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 to the Written Directives outlined in PIN 21-21.1-CCP.

LPA observed disinfectants, cleaning solutions and medications stored in locations (i.e. elevated cabinets, in office space) in classroom which are inaccessible to children in care. Sharps in the classrooms are located in secure locations near the teachers' desk.

(CONT. 809-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: 05/14/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA reviewed licensing required documentation posted at the CCC. A sampling of Sign In/Out forms were reviewed. LPA notes the forms contained the arrival and departure times of children in care, as well the signature of their authorized representatives.

The CCC outdoor play areas are enclosed by chain linked fencing. The footing in the areas are varied. 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 begins to degrade or is not appropriate for use. LPA observed a total of five sheds in the play areas. The sheds are all secured and contain CCC supplies. The play structures in the areas have adequate cushioning to absorb falls. The outdoor areas also have shade created by shade covers, trees and building overhangs. LPA observed no bodies of water on site.

LPA reviewed staff and children records. The children’s records are complete and found to contain emergency contact information as well as immunization records, amongst other required licensing documents. Staff records are reviewed and contained current Pediatric CPR/First Aid, and educational experience, amongst other required licensing documents. Site Supervisor informed LPA no firearm or ammunition is stored on site.



This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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/.

Facility representative 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.
(CONT. 809-C, Page 3)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: 05/14/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility representative Tala Romero.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3