401702793-11-20-2024-17-CC-SLOS-DB7UPD-20241120144522

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 401702793
Report Date: 11/20/2024
Date Signed: 11/20/2024 02:45:33 PM

Document Has Been Signed on 11/20/2024 02:45 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	ORFALEA FAMILY & ASI CHILDREN'S CENTER ROOM #133		FACILITY NUMBER:	401702793
ADMINISTRATOR/ DIRECTOR:	ASHLEY SHOALS		FACILITY TYPE:	830
ADDRESS:	1 GRAND AVE		TELEPHONE:	(805) 756-1267
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93407
CAPACITY: 36	TOTAL ENROLLED CHILDREN: 36	CENSUS: 28	DATE:	11/20/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:40 AM
MET WITH:	Ashley Shoals		TIME VISIT/ INSPECTION COMPLETED:	12:45 PM

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On 11/20/24, at 11:40 AM, Licensing Program Analysts (LPAs) Shane Loftus and Elvin Baddley conducted an unannounced Annual Random Inspection the above-mentioned Child Care Center (CCC). LPAs met with Ashley Shoals, Director of the CCC and explained the purpose of the inspection. 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 infant program uses four classrooms for child care. LPAs observed twenty eight children during the inspection, along with eleven teachers (cleared and associated) providing care and supervision. The facility is an infant/preschool combination center and the preschool maintains a separate license (#401702641).

The classrooms of the CCC are clean and organized. The classrooms have age-appropriate toys and furnishings available for children in care. The CCC has an operable carbon monoxide detector which was tested (12:30 PM). LPAs observed the bathrooms to be in safe and sanitary operating condition. LPAs also observed changing tables in proximity of the sinks. LPAs observed refrigerators in the classrooms of the CCC. The refrigerators contained items for the children's consumption which were labeled and dated. LPAs notes the CCC provided snacks, breakfast, and lunches for children in care. Children in care have access to water inside the CCC and outdoors in the play areas.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) 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). LPAs verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Disinfectants, cleaning solutions, medications and sharps are stored on elevated shelves in classroom cabinets which are beyond the reach of children in care. Continued on 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:	DATE: 11/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2024

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: ORFALEA FAMILY & ASI CHILDREN'S CENTER ROOM #133	FACILITY NUMBER: 401702793
	VISIT DATE: 11/20/2024

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The CCC also has cleaning supplies in the kitchen area which is excluded from care and inaccessible to children in care. LPAs observed licensing required forms, documents and notices posted at the CCC. LPAs reviewed Sign In/Out forms at the CCC. The CCC uses the Care Connect Provider Application containing the arrival and departure times of children along with the signature of authorized representatives.

The CCC outdoor play areas are attached to each classroom. Yards 1, 2, 3, and 4 are used for the infant program. The areas are enclosed by a combination of cinder block and chain linked slated fencing. The footing in the areas are varied. The play yards fences' entry/exit gates are secured. LPAs observed age-appropriate toys and play equipment in the play areas. The toys and play equipment are in suitable condition and free of sharp, loose, or pointed objects. The play structures in the areas have adequate cushioning to absorb falls. LPAs reminded the Director to replace toys and play equipment when such items begin to degrade and are not in good repair. LPAs observed an abundance of shade created by trees, shade sails and building overhangs in the play yards. LPAs observed no bodies of water on site. Waste receptacles with tight fitting covers are observed throughout the center.

A sampling of staff and children's records were reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records. LPAs observed Needs and Services Plans for children in care as well as Sleep Plans and Sleep Check logs. Staff records were reviewed and contained current Pediatric First Aid/CPR certifications (EMSA Approved) 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 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/.

Director 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.
Continued on 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:	DATE: 11/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2024

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: ORFALEA FAMILY & ASI CHILDREN'S CENTER ROOM #133	FACILITY NUMBER: 401702793
	VISIT DATE: 11/20/2024

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Facility representative were 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.

LPAs 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 for additional resource. LPAs also informed Director 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.

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 sited 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 Ashley Shoals

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:	DATE: 11/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2024

LIC809 (FAS) - (06/04)

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