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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215266
Report Date: 03/06/2025
Date Signed: 03/06/2025 11:12:59 AM

Document Has Been Signed on 03/06/2025 11:12 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:COUNTRY COTTAGE PRESCHOOLFACILITY NUMBER:
406215266
ADMINISTRATOR/
DIRECTOR:		BRIANNA MALLORYFACILITY TYPE:
850
ADDRESS:2075 JOHNSON AVENUETELEPHONE:
(805) 235-2153
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY: 62TOTAL ENROLLED CHILDREN: 62CENSUS: 37DATE:
03/06/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Brianna MaloryTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On 3/6/25, at 9:00 AM, Licensing Program Analyst (LPA) Shane Loftus conducted an unannounced Annual/Random Inspection of the above-mentioned Child Care Center (CCC). LPA met with Brianna Mallory, Director of the CCC and explained the nature and purpose of the inspection. LPA, in the company of Director, toured the interior and exterior of the CCC. The CCC operates from 7:45 AM to 5:30 PM, Monday - Friday. The preschool uses three classrooms (2 - 3 year old Classroom, 3 ½ - 5 year old Classroom and 3 year old classroom) for care. LPA observed 37 children in care along with 9 teachers (cleared and associated) providing care and supervision.

LPA observed the CCC's classrooms to be clean and orderly. The classrooms were observed to have age-appropriate toys and furnishings available for children in care. Toys include auditory, visual, and tactile stimulation items as well as items to and the manipulative skills of children. Each classroom has a carbon monoxide detector. A carbon monoxide detector was tested at 9:27 AM and found to be operable. The bathrooms in the CCC used by children in care are in safe and sanitary operating condition. The attached kitchen was observed to be clean and free of toxins. The CCC has an operable refrigerator that stores beverages and snacks. The CCC provides morning and afternoon snacks for the children, while lunches are provided by the parents of children in care. The children have filtered drinking water available both inside and outside the CCC.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers 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 notes the CCC has a waiver on file for lead testing.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
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: COUNTRY COTTAGE PRESCHOOL
FACILITY NUMBER: 406215266
VISIT DATE: 03/06/2025
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LPA observed required licensing notices and documents posted predominately at the entry of the CCC. Required forms are also posted in the CCC's interior hallway. LPA observed Sign In/Out forms near the entry of the CCC which contained the children's arrival and departure times as well as the signatures of authorized representatives. LPA observed disinfectants and cleaning compounds in elevated locations in each classroom which are beyond the reach of children in care. Medications are stored in the office of the CCC, which is off limits to children. Sharps are stored in the CCC’s kitchen, which is inaccessible to children in care.

The CCC's outdoor playground areas are enclosed by a chain linked fence and has varied footing. The fence’s entry/exit gates are secured. LPA observed age-appropriate toys/play equipment in the outdoor play areas The toys/play equipment are in suitable condition and free of sharp, loose, or pointed objects. The play structures in the playground areas have adequate cushioning materials to absorb falls and shade in the form of tress and building overhangs. No bodies of water were observed on site. Waste receptacles with tight fitting covers were observed throughout the CCC.

A sampling of staff and childrens records were reviewed. The children’s records were complete and found to contain emergency contact information and children immunization records, amongst other required licensing documents. LPA notes the CCC has no children under the age of 2 years old. Staff records were reviewed and contained documentation to support their educational experience and training certifications, amongst other required licensing documents. Director noted no firearms/weapons or ammunition are stored on the premises.

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/.



LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025
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: COUNTRY COTTAGE PRESCHOOL
FACILITY NUMBER: 406215266
VISIT DATE: 03/06/2025
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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.

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.

No deficiencies were cited during today’s inspection. 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 Brianna Mallory.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025
LIC809 (FAS) - (06/04)
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