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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 401711512
Report Date: 01/22/2025
Date Signed: 01/22/2025 01:09:46 PM

Document Has Been Signed on 01/22/2025 01:09 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:CAPSLO - PASO ROBLES HEAD STARTFACILITY NUMBER:
401711512
ADMINISTRATOR/
DIRECTOR:		BRANDY BLACKBURN-HERNDONFACILITY TYPE:
850
ADDRESS:304-19TH STREETTELEPHONE:
(805) 238-5323
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 20DATE:
01/22/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Brandy BlackburnTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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On 1/22/25, at 10:30 AM, Licensing Program Analyst (LPA) Matthew Sapien conducted an unannounced random inspection of the abovementioned Child Care Center (CCC). LPA met with Brandy Blackburn, Site Supervisor of the CCC, and explained the nature and purpose of the inspection. The LPA, in the company of the Site Supervisor, toured the interior and exterior of the CCC. The CCC utilizes four classrooms (two preschool classrooms and two toddler classrooms), two bathrooms, and two outdoor play areas. Outdoor play areas and bathrooms are separated based on preschool and toddler programs. The CCC is on the grounds of Glen Speck Elementary School.

The CCC’s hours of operation are Monday through Friday from 7:30 AM until 4:30 PM for three of the classrooms (one preschool class and two toddler classes). For the preschool class with differing hours of operation, this classroom operates Monday through Friday from 8:30 AM until 3:30 PM. This class is also known as the “Extended Day Class”. Upon arrival, LPA observed 20 children in care, along with nine staff assistants (cleared and associated).

The preschool classrooms were observed to be orderly and clean. The classroom have age-appropriate toys, books, and other furnishings for children in care. The CCC provides breakfast, one snack, and lunch for children in care. Site Supervisor informed LPA that available drinking water for children at the CCC is available via water jugs. Children also bring reusable water bottles from home so that the proper water amounts are being monitored and consumed. Reusable water bottles are labeled by staff. The additional two toddler option classrooms were also observed to be orderly and clean. The classrooms have age-appropriate toys, books, and other furnishings for children in care. Like the preschool groups, the CCC provides breakfast, one snack, and lunch for toddlers in care. Site Supervisor informed LPA that available drinking water for children at the CCC is also available via water dispensers. Children also bring reusable water bottles from home so that the proper water amounts are being monitored and consumed. Reusable water bottles are also labeled by staff. (CONT. LIC 802-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE: DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
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 4
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: CAPSLO - PASO ROBLES HEAD START
FACILITY NUMBER: 401711512
VISIT DATE: 01/22/2025
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Importantly to note, each of the classrooms cabinets that are in reach for children in care are made secure by child safety locks. Also, one of the toddler classrooms is not currently being used due to shortage of children and staff to fill the room.

CCCs constructed before 1/1/20, are supposed to test their water (used for drinking and food preparation) for lead contamination before 1/1/23, and then every 5-years except after the date of the first test. For child care center licenses issued after 7/1/22, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA confirmed that the CCC are in compliance with the following directives.

LPA reviewed the children's sign in and sign out forms and found the arrival times of children, along with the departure times in the classrooms of the CCC. The signatures of authorized representatives were also present.


LPA observed a smoke and carbon monoxide detector in each of the four classrooms at the CCC. In one of the preschool classrooms (the Full Day Classroom), a smoke detector was tested at 10:35 AM and at 10:36 AM a carbon monoxide detector was tested. Both detectors were found to be operational. In one of the toddler option classrooms (the Early Headstart classroom), LPA tested a smoke detector at 10:46 AM and a carbon monoxide detector at 10:47 AM. Both detectors were also found to be operational. LPA also observed a number of fire extinguishers throughout the CCC. Site Supervisor informed LPA that cleaning compounds are kept in a locked compartment in the staff bathroom, an area inaccessible for children in care. No sharps are kept in any of the classrooms. Sharps are stored in the CCC’s industrial kitchen, another area that is inaccessible to children in care. Medication was observed in enclosed bags throughout the classrooms, which were positioned in elevated areas. Multiple First Aid Kits were also observed in different areas throughout the CCC.

As mentioned prior, the CCC utilizes two bathrooms for children in care. In one of the preschool bathrooms, which is near staff offices, there are two toilets and two sinks. In another preschool classroom (the Extended Day classroom), there are two toilets and three sinks. Each bathroom was found to be clean, orderly, and rid of any hazardous items for children in care.

The outdoor play areas are enclosed by metal chain linked fencing throughout and are separated by preschool and toddler age programs. The fence’s entry/exit gates are secure and furnishings in the area are (CONT. 809-C, Page 3)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: CAPSLO - PASO ROBLES HEAD START
FACILITY NUMBER: 401711512
VISIT DATE: 01/22/2025
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age appropriate. The play structures in the outdoor play areas have adequate cushioning materials to absorb falls. The footing of the exterior is varied (concrete pavement, sand, and artificial turf). In the outdoor area, shade is provided by trees, building overhangs, shade canopies and umbrellas. In the outdoor play area for the preschool groups, LPA observed 3 large and locked sheds. Site Supervisor informed LPA that childcare equipment is solely stored in these units. Site Supervisor attested that children are always supervised while outside and that the outdoor areas are inspected prior to letting children outside.

A sampling of staff and children records were reviewed. The children’s records were complete and were found to contain emergency contact information as well admission agreements, among other relevant licensing documents and forms. Staff records were reviewed and contained current pediatric CPR and First Aid certifications (EMSA approved) and Mandated Reporter Training certificates. Facility records show the last fire drill on site occurred on 1/7/25 for each of the classrooms. Site Supervisor informed LPA that disaster drills are typically conducted on a monthly basis rather than every six months. LPA confirmed that there are no bodies of water, firearms, or ammunition that are stored on site.

This facility does currently provide Incidental Medical Services – IMS. 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/. LPA confirmed that the CCC are in compliance with the following directives.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, as specified in HSC section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.


Facility representative 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. (CONT. 809-C, Page 4)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: CAPSLO - PASO ROBLES HEAD START
FACILITY NUMBER: 401711512
VISIT DATE: 01/22/2025
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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.

During today's visit, no deficiencies were issued. Site Supervisor was 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, Brandy Blackburn.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC809 (FAS) - (06/04)
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