401708427-5-25-2022-17-CC-EBAY-CERP2H-20220525105557

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 401708427
Report Date: 05/25/2022
Date Signed: 05/25/2022 10:56:06 AM

Document Has Been Signed on 05/25/2022 10:56 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:	VALLEY VIEW CHILDREN'S CENTER		FACILITY NUMBER:	401708427
ADMINISTRATOR:	JAMIE SANBONMATSU		FACILITY TYPE:	850
ADDRESS:	240 VERNON AVENUE		TELEPHONE:	(805) 481-7534
CITY:	ARROYO GRANDE	STATE: CA	ZIP CODE:	93420
CAPACITY:	65	CENSUS: 46	DATE:	05/25/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Jamie Sanbonmatsu		TIME COMPLETED:	11:00 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

On 5/25/22, at 8:30 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required Inspection the abovementioned Child Care Center (CCC). The LPA met with Jamie Sanbonmatsu, Director of the CCC and explained the purpose of the inspection. The LPA, in the company of Director, toured the interior and exterior of the CCC.

The CCC operates from 8:00 AM to 4:00 PM, Monday - Friday and is located on the ground of the Seventh Day Adventist Church of Arroyo Grande. The preschool uses four classrooms (Classroom One- Pre Kindergarteners , Classroom Two- ages 4, Classroom Three- ages 3 and Classroom Five- ages 2) for child care. There are 46 children in care at the time of inspection along with 11 teachers (cleared and associated) providing care and supervision.

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 operable carbon monoxide detectors in each room. A carbon monoxide detector was tested in the office area at 9:30 AM and found to be operable. The restrooms used by children in care are in safe and sanitary operating condition. LPA observed an operable refrigerator in the office area and noted snacks are provided by the CCC, while children in care bring lunches from their homes. Staff members inspect the children's lunches to ensure healthy choices are provided and the meal is free of junk foods. LPA also observed a CCC menu near the entry of the CCC. Disinfectants, cleaning solutions and sharps are secured in each of the classroom cabinets which are inaccessible to children, elevated and locked by magnets. Medication is secured in the CCC's office area. LPA notes the Community Room of the CCC's has an inactive fireplace which is covered by a metal gate/covering.

The CCC's play area is enclosed by wooden fencing. The wooden fences has wiring backing. The fences' entry/exit gates are secured. LPA observed age appropriate toys and play equipment in the play area. The toys and play equipment are in suitable condition and free of sharp, loose or pointed objects. The play structures in the play areas have adequate cushioning materials to absorb falls and an abundance of shade (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: 05/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022

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: VALLEY VIEW CHILDREN'S CENTER	FACILITY NUMBER: 401708427
	VISIT DATE: 05/25/2022

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

created by trees and building overhangs. No bodies of water were observed on site. LPA also observed child safety gates are at the base of the stairs near the elevated dramatic play area. There is available (filtered) drinking water for children at the CCC both inside and outside of the classrooms. Waste receptacles with tight fitting covers were observed throughout the CCC.

LPA reviewed posted licensing required notices and documents on varies wall of the CCC. Sign In/Out forms which are just outside of the CCC's entry door were reviewed by the LPA upon arrival and found to be completed appropriately.

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. Staff records were reviewed and contained Mandated Reported and Pediatric CPR and First Aid certifications. LPA reminded Director to ensure training certifications are renewed and kept current.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing 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

Administrator was reminded that all adults 18 and over working in the CCC, 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 licensed 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.

Exit interview conducted and report was reviewed with the Administrator Jamie Sanbonmatsu.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2