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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216338
Report Date: 08/19/2022
Date Signed: 08/19/2022 11:11:54 AM

Document Has Been Signed on 08/19/2022 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:NORTH COUNTY CHRISTIAN PRESCHOOLFACILITY NUMBER:
406216338
ADMINISTRATOR:DAN WAYBRIGHTFACILITY TYPE:
850
ADDRESS:2100 RAMONA ROADTELEPHONE:
(805) 602-6648
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 0DATE:
08/19/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:21 AM
MET WITH:Dina DaleTIME COMPLETED:
11:26 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
This is a change of location, previous facility number 406212578.

On August 19, 2022 at 9:25 AM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an announced Pre-licensing inspection. LPA met with Director Dina Dale and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were no children in care at the time of the inspection. Facility hours of operation are Monday thru Friday 7:00 AM to 5:30 PM.

Facility is located on a local church premises. LPA observed the required licensing documents mounted on the wall in the classroom. A posted snack menu was observed. Facility provides two snacks daily for children in care. Children will bring their own lunch from home. The facility will be using three (3) classrooms for children in care. The Director's office will be used as an isolation room when needed. Facility cleaners/disinfectants will be stored in a secured cabinet located in the Director's office. LPA observed each classroom had age appropriate toys, activities, and furniture readily accessible for children in care. The facility has enough restrooms available to meet the needs of the children in care. Children staying for the day will be offered a sleeping mat to sleep on during quiet time should they choose to sleep. The facility has one (1) outdoor recreation yard with age appropriate toys and structures. Water will be available for children inside and out. The facility plans to have children bring their own water bottles from home. The facility will have extra bottled water available for children.

LPA reviewed with Director the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. LPA discussed information capacity, ratios, current Covid-19, and safe sleep requirements. Director was made aware that it is the facility's responsibility to know the current regulations for a CCC which can be accessed on-line at www.cdss.ca.gov.

Continued on 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 08/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/19/2022
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: NORTH COUNTY CHRISTIAN PRESCHOOL
FACILITY NUMBER: 406216338
VISIT DATE: 08/19/2022
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
Facility received an approved fire clearance for 48 children on 7/14/22 from Atascadero Fire Department. Due to the size of outdoor recreation yard, the facility meets a maximum capacity of 38 children. Facility plans to submit a waiver request to Community Care Licensing for the 48 children maximum capacity.

The center meets Title 22 Division 12 requirements.

License will be effective today, August 19, 2022 for 38 children.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817.

Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed [applicant, 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

Exit interview conducted and report was reviewed with the Director Dina Dale.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2