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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 401702661
Report Date: 10/06/2022
Date Signed: 10/06/2022 04:25:02 PM

Document Has Been Signed on 10/06/2022 04:25 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:SAN MIGUEL EARLY LEARNING CENTERFACILITY NUMBER:
401702661
ADMINISTRATOR:LAUREN THORNEFACILITY TYPE:
850
ADDRESS:1601 L STREETTELEPHONE:
(805) 467-3626
CITY:SAN MIGUELSTATE: CAZIP CODE:
93451
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 12DATE:
10/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Andrea UgazTIME COMPLETED:
04:30 PM
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On 10/6/22, at 10:00 AM Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced One Year Required inspection the abovementioned Child Care Center (CCC). LPA met with Andra Ugaz, Site supervisor of the CCC and explained the purpose of the inspection. LPA, in the company of the site supervisor toured the interior and exterior of the CCC. The CCC operates an AM and PM program from 8:00 am-11:00am and 12:00 pm through 3:00 pm Monday – Friday. Staff is present in the facility from 7:30am to 4:00 pm, Monday - Friday. The facility is a preschool age program located in an elementary school. LPA notes that during this inspection there were twelve (12) children present being supervised by two (2) staff.

LPA notes that there is one (1) classroom used for preschool children. The CCC classroom is clean and organized. The CCC has ventilation to afford for childcare. LPA observed age-appropriate toys and furnishings throughout the CCC. LPA observed and tested carbon monoxide detectors in the CCC. The CCC's uses the school’s bathroom. LPA observes that the bathrooms are in safe and sanitary operating condition. LPA notes preschool children have access to three (3) toilets, one (1) urinal, and six (6) sinks for hand washing. Snack/meals are provided by the CCC. Site Supervisor stated that food preparation is conducted in the school's kitchen and delivered to the CCC daily. The CCC provides the children in care filtered water inside the CCC and in the outside play area by means of individual water bottles and water cups. Site supervisor was reminded of the need to have the CCC's water sources tested for lead containment. LPA observed disinfectants are readily accessible to staff but out of reach of children. LPA observed medication is stored in an elevated cabinet in the classroom in a locked box. LPA observed manual sign- in and sign-out sheets containing parents drop off time, pick up time and full signatures. LPA reviewed sign-in and sign-out sheet and notes that all children that were present this morning were signed in.

LPA inspected outdoor play area and notes that all outdoor play area is enclosed by chain link fencing. LPA observed age appropriate toys/play equipment in the play area. The toys/play equipment are free of sharp, loose or pointed objects. The outdoor play area also has ample shade created by a tree and building overhangs. Filtered water is accessible by means of individual water bottles. CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2022
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: SAN MIGUEL EARLY LEARNING CENTER
FACILITY NUMBER: 401702661
VISIT DATE: 10/06/2022
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Staff and children records are reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records. Staff records were reviewed and current. Site supervisor was informed to keep training certifications current and renew certifications prior to expirations.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

LPA discussed the safe sleep regulations with Site Supervisor 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
for additional resource. LPA also informed Site supervisor 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.

Site supervisor was reminded that all adults 18 and over, 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.

A Notice of Site visit was given and must remain posted for 30 days.

LPA notes that during inspection, LPA left the facility at 11:45am and returned at 2:45pm until 4:30pm to complete this inspection.

Exit interview conducted and report was reviewed with the Site supervisor, Andrea Ugaz.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC809 (FAS) - (06/04)
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