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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406213912
Report Date: 07/21/2021
Date Signed: 07/21/2021 11:11:37 AM

Document Has Been Signed on 07/21/2021 11:11 AM - 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:CENTRAL COAST MONTESSORIFACILITY NUMBER:
406213912
ADMINISTRATOR:LAURIE HOLCOMBFACILITY TYPE:
850
ADDRESS:3230 MAIN STREETTELEPHONE:
(805) 772-9317
CITY:MORRO BAYSTATE: CAZIP CODE:
93442
CAPACITY: 24TOTAL ENROLLED CHILDREN: 0CENSUS: 15DATE:
07/21/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Laurie HolcombTIME COMPLETED:
11:15 AM
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 7/21/21, at 9:15 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection of the abovementioned Child Care Center (CCC). LPA met with Laurie Holcomb, Director of the CCC and explained the purpose of the inspection. LPA, in the company of Director, toured the interior and exterior of the CCC. The CCC operates from 7:30 AM to 5:30 PM, Monday - Friday. The preschool uses a single classroom for child care services. LPA observed 15 children on site at the time of the inspection, along with a teacher.

LPA observed the CCC's classroom to be clean and organized. The classroom had age appropriate toys and furnishings available for children in care. The classroom has a carbon monoxide detector affixed to the classroom wall which was tested (10:20 AM) and found to be operable. The CCC's bathroom is in safe and sanitary operating condition. The CCC has an operable refrigerator which contained labeled food and beverages. Director informed LPA children in care bring lunches from home while the CCC supplies individualized snacks. LPA observed a posted menus in the classroom which outlined the future snacks to be provided. Additionally, licensing required notices and documents are posted predominately on the wall of the classroom in proximity to the entry/exit. LPA notes Sign In/Out form were reviewed and completed appropriately.

LPA observed disinfectants and cleaning solutions on an elevated shelf in the CCC's storage area which was secure and inaccessible to children in care. The Director informed LPA the CCC currently has no medication on site however, when medication is present, the medication is stored in the storage area on an elevated shelf, inaccessible to children in care.

The CCC’s outdoor playground area, which is comprised of a grass lawn, sand play area and concrete sidewalks, is enclosed by a chain linked fence. The fence’s entry/exit gate is secured. LPA observed age appropriate toys and play equipment in the play area. The toys and play equipment are in suitable condition
(CONT 809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2021
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 2
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: CENTRAL COAST MONTESSORI
FACILITY NUMBER: 406213912
VISIT DATE: 07/21/2021
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
and free of sharp, loose or pointed objects. LPA observed the play structures in the playground area has adequate cushioning materials (i.e. sand) to absorb falls and shade cover is provided by the CCC itself. Director informed LPA additional shade covering is provided in the form of shade sails when needed. No bodies of water were observed on site. There is available drinking water for children both inside (5 gallon jugs) the classroom and outside (water fountain) in the play area. Waste receptacles with tight fitting covers were observed throughout the center.

A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information as well as medical assessments. Staff records were reviewed and contained a health assessment. Director informed LPA no firearms or ammunition is stored on site.

This CCC is not 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 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 Director. The topic of face coverings was discussed in detail. Director was reminded that it is Director's 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: 07/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2