401710768-6-5-2023-17-CC-EBAY-CSHSH6-20230605135301

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 401710768
Report Date: 06/05/2023
Date Signed: 06/05/2023 01:53:50 PM

Document Has Been Signed on 06/05/2023 01:53 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:	UNITED METHODIST CHILDREN'S CENTER, THE		FACILITY NUMBER:	401710768
ADMINISTRATOR:	LIZ RICHARDSON		FACILITY TYPE:	850
ADDRESS:	1515 FREDERICKS STREET		TELEPHONE:	(805) 549-0332
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93405
CAPACITY:	100	CENSUS: 63	DATE:	06/05/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Liz Richardson		TIME COMPLETED:	01:45 PM

NARRATIVE

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On 6/5/23, at 10:45 AM , Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required Inspection the abovementioned Child Care Center (CCC). LPA met with Liz Richardson, 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 center operates from 7:30 AM to 5:30 PM, Monday - Friday. The preschool uses six classrooms for child care. There is a Toddler Option at the CCC. LPA observed 63 children on site during the inspection along with 14 teachers (cleared and associated) providing care and supervision.

Required Licensing forms and documents are observed posted at the office of the CCC. Sign In/Out forms were reviewed and found to be completed appropriately with children's arrival and departure times as well as the signature of parents/ authorized representatives. 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 carbon monoxide detectors throughout the facility. A carbon monoxide detector in Room One was tested at 11:20 AM and found to be operable. The attached bathroom in each classroom is observed to be in safe and sanitary operating condition. LPA observed an operable refrigerator in the CCC's office. The CCC provides snacks for children in care while lunches are provided by parents. There is available drinking water for children both inside the classroom and outside in the play area. At 10:50 AM, Director informed LPA the CCC has not had the facility's water sources tested for lead containment. LPA informed Director of the regulation pertaining to water testing for lead containment and the need of the CCC to test water sources. In each classroom, disinfectants, cleaning solutions, sharps and medications are secured in elevated cabinets and inaccessible to children.

The CCC has multiple outdoor playground areas. Each playground is enclosed by chain linked fencing. The fences' entry/exit gates are secured. LPA observed age appropriate toys and play equipment in each of the 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 playground areas have adequate cushioning materials to absorb falls and

(CONT. 809-C, Page 2)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023

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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Document Has Been Signed on 06/05/2023 01:53 PM - It Cannot Be Edited

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: UNITED METHODIST CHILDREN'S CENTER, THE	FACILITY NUMBER: 401710768
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/05/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above in as the CCC, which was constructed before 1/1/10, has not had facility's water sources tested for lead contamination levels which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/19/2023
	Plan of Correction
1 2 3 4	Director to ensure facility's water souces are tested for lead contamination levels no later than 6/19/23, and facility to provide children in care bottled water or water not originating from CCC. Documentation noting the aforementioned to be submitted to CCLD (elvin,baddley@dss.ca.gov) no later than 6/19/23.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023

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: UNITED METHODIST CHILDREN'S CENTER, THE	FACILITY NUMBER: 401710768
	VISIT DATE: 06/05/2023

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an abundance of shade created by trees, building overhangs and shade covers. No bodies of water were observed on site. Waste receptacles with tight fitting covers were observed throughout the CCC.

A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information, immunization records and parents contact information, amongst other required licensing documents. Staff records were reviewed and contained qualifications, pediatric CPR and first aid certifications as well as Mandated Reporter certifications, amongst other required licensing documents. LPA notes the last fire drill at the CCC occurred on 5/11/23. Director informed LPA no firearm or ammunition is stored on the premises.

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 Type B Deficiency is being cited based on LPA's observation/interviews/record reviews pursuant to Title 22 of the CA Code of Regulations (refer to LIC 809-D). Director is provided a copy of their Appeal Rights (LIC 9058) and their signature on this form acknowledges receipt of these rights

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 Liz Richardson.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023

LIC809 (FAS) - (06/04)

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