<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406205649
Report Date: 08/03/2021
Date Signed: 11/03/2021 04:09:02 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:CHILDREN'S GARDEN, THEFACILITY NUMBER:
406205649
ADMINISTRATOR:GINA GOETSCHFACILITY TYPE:
840
ADDRESS:701 CROCKER ST.TELEPHONE:
(805) 434-1188
CITY:TEMPLETONSTATE: CAZIP CODE:
93465
CAPACITY:30CENSUS: 24DATE:
08/03/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Gina GoetschTIME 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
This is an amended report of the original report dated 8/3/2021 to reflect the correct California Code of Regulation (CCR) no. 101206 (a) (1) (c) on LIC 809 D - Deficiency page

On August 3, 2021, Licensing Program Analysts (LPA) Gigi Reyes and Licensing Program Manager (LPM) Maria Mueller conducted an unannounced Required Annual inspection of the above mentioned Child Care Center (CCC). Prior to inspection LPA asked pre screening questions related to COVID 19, Director responses indicate there was no COVID exposure on site. LPA met with Gina Goetsch, Director and Jeanne Hunt Licensee of the CCC and explained and nature of the inspection. LPA, in the company of the Director toured the interior and exterior of the CCC. There were 24 children present in the School Age Program at the time of the inspection. The CCC operates from 6:30 AM to 6:00 PM, Monday thru Friday.

When LPA and LPM arrived, it was observed that Director was not wearing face mask. Director stated that they are aware of the mask mandate in the day care setting however, implementation of mask among day care children will jeopardize the operations of the school age center because parents of day care children refused the mask wearing among children.

During the tour, the following was observed, classroom is adequately equipped with age and size appropriate furniture and equipment. Water cooler supplies drinking water in the indoor activity space. Playground is enclosed by an appropriate fence. Outdoor activity area is equipped with age and size appropriate equipment. An adequate amount of cushioning material, sand pebbles is in place under play equipment. Adequate shade is provided. Drinking water is provided in the outdoor play area by a drinking fountain.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2021
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CHILDREN'S GARDEN, THE
FACILITY NUMBER: 406205649
VISIT DATE: 08/03/2021
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
A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information as well as medical assessments. A review of staff records on 8/3/2021 indicates that all facility staff have criminal record clearance. CPR and First Aid expired on 6/7/2021. Sign in and sign out record meets the regulation requirements. Mandated Reporter Training was not renewed. Director was advised that it should be renewed every two years per AB 1207.

Director noted no firearms or ammunition is stored on site.

Incidental Medical Services (IMS) policy was discussed. 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.htmhttp://www.ada.gov/childqanda.htm

In areas evaluated, deficiencies were cited under Title 22 Division 12 and Health and Safety Code.



Upon receipt, provide copies of this licensing report to each parent/guardian of enrolled children and to parents/guardians of newly enrolled children during the next 12 months. Acknowledgement of Receipt LIC 9224 form shall be used for this purpose. LIC 9224 after completed shall be maintained in each child's file. (LIC 9224 was provided to the Center.) Appeal Rights were provided to Licensee and Director.

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 BE ASSESSED.


SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2021
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CHILDREN'S GARDEN, THE
FACILITY NUMBER: 406205649
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/03/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/04/2021
Section Cited

1
2
3
4
5
6
7
The Department has the authority to suspend or revoke a license on any of the grounds specified in Health and Safety Code Section 1596.885.Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state
This requirement is not met as evidenced by:
8
9
10
11
12
13
14
Upon LPA and LPM arrival, it was observed that no one was wearing face mask. Director Gina Goetsch stated it has not been implemented in the center because parents do not agree for children to wear face mask and will jeopardize the business.
This poses an immediate risk to health and safety of children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
8
9
10
11
12
13
14
8
9
10
11
12
13
14
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 MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:
DATE: 08/03/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/03/2021
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CHILDREN'S GARDEN, THE
FACILITY NUMBER: 406205649
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/03/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/25/2021
Section Cited

1
2
3
4
5
6
7
101216(f) Personnel Requirement
At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.
This requirment is not met as evidenced by:
8
9
10
11
12
13
14
During file review, it was observed that CPR and Firs Aid expired on 6/7/2021. Director stated that the staff have registered to renew the CPR and First Aid Training.
This poses a potential risk to health and safety of children in care.
8
9
10
11
12
13
14
Type B
08/25/2021
Section Cited

1
2
3
4
5
6
7
(b) (1)  On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training ... This requirement is not met as evidenced by
8
9
10
11
12
13
14
LPA review of facility file revealed that Staff 1 and Staff 2 do not have current Mandated Reporter Training Certificate per AB 1207.
This poses a potential risk to health and safety of children in care.
8
9
10
11
12
13
14
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 MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:
DATE: 08/03/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/03/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4