401711246-9-21-2021-17-CC-EBAY-C73RMN-20210921130902

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 401711246
Report Date: 09/21/2021
Date Signed: 09/21/2021 01:09:12 PM

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:	CHILD'S SMILE PRESCHOOL		FACILITY NUMBER:	401711246
ADMINISTRATOR:	SHIRLEY ALBRECHT		FACILITY TYPE:	850
ADDRESS:	781 PAUL PLACE		TELEPHONE:	(805) 234-6988
CITY:	ARROYO GRANDE	STATE: CA	ZIP CODE:	93420
CAPACITY:	28	CENSUS: 5	DATE:	09/21/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Laura Karlyn-Viger,		TIME COMPLETED:	01:00 PM

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On 9/21/21, at 11:00 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection the abovementioned Child Care Center (CCC). The LPA met with Laura Karlyn-Viger, 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 7:30 AM-5:30 PM, Monday- Friday. LPA observed 5 children on site during the inspection along with one teacher (cleared and associated).

LPA observed age appropriate toys and furnishings available for children in care throughout the CCC. The CCC has a carbon monoxide detector which was tested at 11:10 AM and found operable. The restroom used by children in care is in safe and sanitary operating condition. LPA observed an operable refrigerator in the CCC which contains items consumed by children in care. LPA notes snacks are provided by the CCC while the parents of children in care provide lunches. LPA observed a menu posted in the CCC's kitchen area. LPA notes children have access to water both inside the CCC and outside in the CCC. Disinfectants and cleaning solutions are secured in the kitchen cabinet underneath the sink. Medication in the CCC is secured in an elevated cabinet in the kitchen which is inaccessible to children in care. Sharps in the CCC's are kept in kitchen area which is inaccessible to children in care.

The CCC's outdoor play area is enclosed by wooden fencing, while the footing is made up of wood chips. 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 (i.e. wood chips). No bodies of water are located on site. LPA observed waste receptacles with tight fitting covers in the CCC.

LPA reviewed posted licensing required notices and documents on the wall of the CCC near the entry/exit. LPA reviewed Sign In/Out forms which were completed appropriately.

A sampling of staff and children's records were reviewed. The children’s records were complete and found to
(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: 09/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021

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: CHILD'S SMILE PRESCHOOL	FACILITY NUMBER: 401711246
	VISIT DATE: 09/21/2021

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contain emergency contact information as well as immunizations. Staff records were reviewed. LPA found current CPR and First Aid certifications as well as appropriate teaching qualifications.

LPA notes no firearm or ammunition are stored on the premises.

This facility does not provide Incidental Medical Services (IMS). For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 COVID 19 guidance and best practices with the Director. The topic of face coverings was discussed in detail. Director was reminded that it is Director's responsibility to know the regulations for a CCC which can be accessed on-line at www.ccld.ca.gov.

In areas evaluated, there were no deficiencies cited at this time.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021

LIC809 (FAS) - (06/04)

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