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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 401700158
Report Date: 05/17/2019
Date Signed: 05/17/2019 11:15:35 AM

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:HAPPY TIME COOPERATIVE SCHOOLFACILITY NUMBER:
401700158
ADMINISTRATOR:NITA OATESFACILITY TYPE:
850
ADDRESS:1091 BELLO STREETTELEPHONE:
(805) 773-2095
CITY:PISMO BEACHSTATE: CAZIP CODE:
93449
CAPACITY:25CENSUS: 18DATE:
05/17/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nita OatesTIME COMPLETED:
11:20 AM
NARRATIVE
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Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced annual/random and met with Director, Ms. Nita Oates. There were 18 children, 3 parents/volunteers present during te inspection. LPA and director toured the center inside and out. LPA observed age and size appropriate toys, furniture and equipment. The classroom was observed to be clean and in order. Playground is completely fenced, playground equipment are in safe condition, free of sharp and loose pointed parts. There are no bodies of water observed. Director stated there are no guns nor ammunition in the center.

CPR and First Aide expires on 8/11/2019. There is a presence of carbon monoxide and smoke detectors. Sign in Sign out matched the attendance of children. Medications are kept in a safe place inaccessible to day care children. LPA reviewed Parents/volunteers files , Parent/Volunteer # 3 (confidential list) has no record of immunization. LPA reviewed staff file, director has not taken the AB 1207 Mandated Reporter Training. Children's files were reviewed and found complete.

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 Evaluator Manual - Regulation Interpretations and Procedures for Child

Continued on 809 C

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019
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: HAPPY TIME COOPERATIVE SCHOOL
FACILITY NUMBER: 401700158
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/17/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/27/2019
Section Cited
HSC
1596.7995(a)1
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(a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between
August 1 and December 1 of each year.
Thi requirement is not met as evidenced by
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Director agreed to submit the proof of immunization for Parent/Volunteer # 3 to CCLD on 5/18/19.
gigi.reyes@dss.ca.gov
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Based on LPA's review of record, it was observed the parent/volunteer 3 does not have a record of immunization on file. Director stated parent submitted the proof of immunization but it must have been mis filed.
This poses a potential risk to health and safety of children in care.
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Type B
05/27/2019
Section Cited
HSC
1596.8662(b)(1)
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(b) (1)   On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete... training , and shall complete renewal mandated reporter training every two years...
This requirement is not met as evidenced by:
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Director agreed to take AB 1207 Mandated Reporter Training and submit the certificate To CCLD on 5/27/2019. gigi.reyes@dss.ca.gov
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Based on LPA's review of record and interview with director, it was observed that
Director has not taken the AB 1207. Director stated she has not heard of the said training.
This poses a potential risk to healh and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019
LIC809 (FAS) - (06/04)
Page: 3 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: HAPPY TIME COOPERATIVE SCHOOL
FACILITY NUMBER: 401700158
VISIT DATE: 05/17/2019
NARRATIVE
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Care Centers Sections 101173 and 101226.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 obtained the center's IMS plan of operation.

In the areas evaluated, deficiencies were cited under Health and Safety Code (809D)

Appeal Rights given.

LPA observed Director posted the Notice of Site.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3