401701939-7-29-2021-17-CC-EBAY-C5DRHL-20210729130230

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 401701939
Report Date: 07/29/2021
Date Signed: 07/29/2021 01:02:42 PM

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:	PEACE CHRISTIAN PRESCHOOL		FACILITY NUMBER:	401701939
ADMINISTRATOR:	DORIS ANGEL		FACILITY TYPE:	850
ADDRESS:	244 OAK PARK		TELEPHONE:	(805) 489-9644
CITY:	ARROYO GRANDE	STATE: CA	ZIP CODE:	93420
CAPACITY:	92	CENSUS: 48	DATE:	07/29/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Doris Angel		TIME COMPLETED:	01:15 PM

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On 7/29/21, at 11:30 AM, Licensing Program Analysts (LPAs) Elvin Baddley and Austin Rios conducted an unannounced Required Inspection the abovementioned Child Care Center (CCC). The LPAs met with Doris Angel , Director of the CCC and explained the purpose of the inspection. The LPAs, 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 five classrooms (Room One- 3 years old, Room Two- 3-4 years old, Room Three-5-6 year olds, Room Four ages 4-5 year old, Room Seven 2 years old) for child care. LPA observed 48 children on site during the inspection along with 5 teachers.

The classrooms of the CCC are clean and organized. The classrooms had age appropriate toys and furnishings available for children in care. The CCC has an operable carbon monoxide detector which was tested (11:50 PM). The bathrooms in the CCC are in safe and sanitary operating condition. LPAs observed operable refrigerators on site and noted morning and afternoon snacks are provided by the CCC, while children in care bring lunches from their homes. Disinfectants and cleaning solutions are stored on elevated shelves in CCC classroom cabinets which are beyond the reach of children in care. Likewise, sharps in the classrooms are observed on elevated shelves, beyond the reach of children in care. LPAs observed medication stored in an elevated shelf in the kitchen area which is beyond the reach of children in care.

The CCC has two outdoor playground areas (Tot yard and Preschool yard). The Tot yard is enclosed by chain linked fencing, while the Preschool yard rest in the middle of the CCC. The playground fences' entry/exit gates are secured. LPAs observed age appropriate toys and play equipment in the playground areas. The toys and 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 in the form of sand and an abundance of shade created by trees and shade sails. No bodies of water are observed on site. There is available drinking water for children both inside the classroom and outside in the play area. Waste receptacles with tight fitting covers are observed throughout the center.

(CONT 809-C)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021

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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: PEACE CHRISTIAN PRESCHOOL	FACILITY NUMBER: 401701939
	VISIT DATE: 07/29/2021

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LPAs observed licensing required notices and documents posted predominately in each of the CCC's classrooms. A posted menu was also reviewed by LPAs. LPAs observed Sign In/Out forms at the CCC and found the forms to be completed appropriately.

A sampling of staff and children records are 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 current pediatric First Aid/CPR certifications as well as certifications for Mandated Reporter. Director informed LPAs no firearm or ammunition is 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 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. Director is 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

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021

LIC809 (FAS) - (06/04)

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