406213912-3-10-2025-17-CC-MSAN-DEMQPJ-20250310122050

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406213912
Report Date: 03/10/2025
Date Signed: 03/10/2025 12:21:06 PM

Document Has Been Signed on 03/10/2025 12:21 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	CENTRAL COAST MONTESSORI		FACILITY NUMBER:	406213912
ADMINISTRATOR/ DIRECTOR:	LAURIE HOLCOMB		FACILITY TYPE:	850
ADDRESS:	3230 MAIN STREET		TELEPHONE:	(805) 772-9317
CITY:	MORRO BAY	STATE: CA	ZIP CODE:	93442
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 17	DATE:	03/10/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:35 AM
MET WITH:	Laurie Holcomb		TIME VISIT/ INSPECTION COMPLETED:	12:45 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 3/10/25, at 10:35 AM, Licensing Program Analyst (LPA) Matthew Sapien conducted an unannounced Random Inspection of the abovementioned Child Care Center (CCC). LPA met with Laurie Holcomb, Director of the CCC, and explained the nature and purpose of the inspection. The LPA, in the company of the Director, toured the interior and exterior of the CCC. The CCC utilizes a single large open classroom, one restroom, and an outdoor play area. The remainder of the building, like staff office and staff bathroom, is excluded from childcare services. The CCC's hours of operation are 7:30 AM until 5:30 PM Monday through Friday. During the inspection, LPA observed a total of 17 children in care along with 1 additional staff member who is cleared and associated. The open space classroom of the CCC is clean and orderly. The classroom has age-appropriate books, equipment, and other furnishings for children in care. The classroom contains a number of cabinets and other storage containers for childcare equipment, files, and other related items. The CCC's bathroom, which possesses 1 sink and 2 toilets, was clean, orderly, and rid of any hazardous items for children in care. Importantly to note, there is an additional sink within the classroom near the staff area. As mentioned prior, the CCC houses a staff only area which possess an office, bathroom, and an operational refrigerator which contains food items for children in care. Children lunch bags, food for snacks, and water bottles are stored in the refrigerator. Again, this area is an area that is off limits for children. The CCC provides one morning and afternoon snack for children in care. Children bring lunches from home. There is available drinking water for children at the CCC via a 5-gallon water dispenser. Children also bring water bottles to the CCC from home to drink with. CCCs constructed before 1/1/20, are supposed to test their water (used for drinking and food preparation) for lead contamination before 1/1/23, and then every 5-years except after the date of the first test. For child (CONT. LIC 809-C, Page 2).

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CENTRAL COAST MONTESSORI	FACILITY NUMBER: 406213912
	VISIT DATE: 03/10/2025

NARRATIVE

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care center licenses issued after 7/1/22, 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 snack menus and required notices and other relevant documents posted prominently near the entry way of the CCC. LPA also reviewed the children's sign in and sign out forms and found the arrival times of children, along with spaces for departure times. The signatures of authorized representatives were also present.

LPA observed a carbon monoxide detector in the classroom. The detector was tested at 10:59 AM and was found to be operational. Cleaning compounds and sharps are stored in locked and elevated kitchen cabinets in the staff only portion of the building. Additional cleaning supplies like disinfectant wipes were observed on an elevated cabinet in the CCC's classroom. No children currently require medication. LPA also observed a First Aid kit in the CCC that contains hydrogen peroxide, band aids, and other appropriate supplies.

The outdoor playground area is enclosed by secure metal fencing throughout. A wooden gate is also present within the outdoor area. The fence’s entry and exit gates are secure and furnishings in the area are age appropriate. The play structures in the outdoor play area have adequate cushioning material (sand) to absorb falls. The outdoor area also possesses an attached basketball hoop to a wooden slide structure. The footing of the exterior is varied (concrete pavement, natural grass, and sand). Shade is provided by building overhangs and a wooden pergola with an attached sunshade. LPA observed a large dog in the outdoor play area and within the CCC. Director informed LPA that said dog is an emotional support animal for the children and that the dog is up to date on their vaccinations. Director also attested that children are always supervised while outside and that the outdoor area is inspected prior to letting children outside.

A sampling of staff and children's records were reviewed. The children’s records were complete and were found to contain emergency contact information as well admission agreements, among other relevant licensing documents and forms. Staff records were reviewed and contained current pediatric CPR and First Aid certifications (EMSA approved) and Mandated Reporter Training certificates. Facility records show the last fire drill on site occurred on 10/17/24 which was the Great ShakeOut earthquake day. LPA reminded Director that disaster drills are required every six months by the Department. LPA confirmed that there are no bodies of water, firearms, or ammunition that are stored on site. (CONT. 809-C, Page 3)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CENTRAL COAST MONTESSORI	FACILITY NUMBER: 406213912
	VISIT DATE: 03/10/2025

NARRATIVE

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This facility does not currently provide Incidental Medical Services – IMS. 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 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,
as specified in HSC 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.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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.

During today's visit, no deficiencies were issued. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

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, Laurie Holcomb.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025

LIC809 (FAS) - (06/04)

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