401710474-10-26-2021-17-CC-EBAY-C86Q7S-20211026115537

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 401710474
Report Date: 10/26/2021
Date Signed: 10/26/2021 11:55:45 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:	BISHOP'S PEAK SCHOOL		FACILITY NUMBER:	401710474
ADMINISTRATOR:	VALERIA MASON-GALE		FACILITY TYPE:	840
ADDRESS:	451 JAYCEE DRIVE		TELEPHONE:	(805) 781-7447
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93405
CAPACITY:	60	CENSUS:	DATE:	10/26/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Valeria Mason-Gale		TIME COMPLETED:	11:45 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 10/26/21, at 8:45 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required inspection the abovementioned Child Care Center (CCC). LPA met with Valerie Mason-Gale, Director of the CCC and explained the purpose of the inspection. LPA, in the company of Director, toured the interior and exterior of the CCC. The CCC operates out of a module classroom on the grounds of Bishop Elementary School. The CCC's hours of operation are 7:00 AM to 6:00 PM, Monday - Friday. During the inspection LPA observed no children in the CCC as the facility's children had began schooling prior to arrival. Director noted 20 children were present along with an additional teacher prior to LPA's arrival. The classroom of the CCC is organized and the storage space afforded to each child is appropriate. The classroom has age appropriate furnishings for children in care. The classroom has an operable refrigerator which contains food items consumed by the CCC's children. Food items in the CCC's refrigerator are labeled. The CCC provided snacks to children in care while lunches are provided by the elementary school. There is available drinking water fountains for children outside the classroom and bottled water inside. LPA observed a snack menu posted near the entry of the CCC. Additionally, LPA observed required notices and documents posted on the classroom's wall near the entry. LPA reviewed children's In/Out forms upon entry and found that the documents were completed sufficiently. LPA observed an operable carbon monoxide detector on the wall of the classroom. The detector was tested at 9:15 AM and found to be operable. Disinfectants and cleaning solutions are stored in a locked metal cabinet in the corner of the CCC. Sharps are observed secured in the teacher's desk drawer which is inaccessible to children. Medications is secured in locked cabinet near the classroom entry which is inaccessible to children in care. The restrooms of the CCC are located in a module building outside of the classroom. LPA observed the restrooms to be in sanitary operating condition. In total, four sinks, six toilets and three urinals are available in (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: 10/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2021

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: BISHOP'S PEAK SCHOOL	FACILITY NUMBER: 401710474
	VISIT DATE: 10/26/2021

NARRATIVE

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the restroom areas.

The outdoor playground area is enclosed by chain linked and wooden fencing. The fence’s entry/exit gates are secured and furnishings in the area are age appropriate. The play structures in the outdoor play area have adequate cushioning materials (i.e. wooden chips) to absorb falls. Shade is provided by trees in the area. No bodies of water are observed on site.

Staff and children records were 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 CPR and First Aid certifications (EMSA) along with Mandated Reporter certifications. The Director noted no firearm or ammunition is stored on site

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

Facility representative 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.

Exit interview conducted and report was reviewed with the Facility representative Valerie Mason-Gale.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2021

LIC809 (FAS) - (06/04)

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