406205657-2-25-2020-17-CC-GRES-BM5Q2Z-20200225104759

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406205657
Report Date: 02/25/2020
Date Signed: 02/25/2020 10:48:04 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:	ATASCADERO EARLY LEARNING CENTER		FACILITY NUMBER:	406205657
ADMINISTRATOR:	NANCY NORTON - T5		FACILITY TYPE:	850
ADDRESS:	8500 SAN GABRIEL ROAD		TELEPHONE:	(805) 466-8181
CITY:	ATASCADERO	STATE: CA	ZIP CODE:	93422
CAPACITY:	22	CENSUS: 14	DATE:	02/25/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Misti Freeman		TIME COMPLETED:	10:50 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	Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced annual/random and met with Site Supervisor, Misty Freeman. There were 14 Children, one teacher associate and one parent volunteer present. LPA toured the preschool center and observed the following: Classroom is equipped with age and size appropriate furniture and equipment. Water jug supplies the drinking water in the indoor space. Playground is enclosed with an appropriate fence. An adequate amount of rubber mat cushioning is in place under play equipment. Drinking water is provided in the outdoor play area by a water jug. Fire and disaster drill is conducted and document every month. Last drill was conducted on February 13, 2020. Sign in/sign out record was reviewed and matched the physical count. Carbon monoxide was tested and found functional. Menus and required licensing forms are posted in the prominent location. Site Supervisor stated no guns nor ammunition in the Center. LPA reviewed the staff records and children's records and found complete. CPR and first Aid expires on 08/16/2021. Site Supervisor educational qualification was verified. Staff have the SB 792 requirements. Staff have taken the AB 1207 Mandated Reporter Training. Safe Sleep Best Practices and Effects of Lead Exposure were discussed. LPA informed Ms. Freeman to distribute the Effects of Lead Exposure flyer to parent of day care children. Continued on 809 C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020

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: ATASCADERO EARLY LEARNING CENTER	FACILITY NUMBER: 406205657
	VISIT DATE: 02/25/2020

NARRATIVE

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Center is not providing Incidental Medical Services (IMS). 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

In the areas evaluated, no deficiency was cited under Title 22 Division 12 .

LPA observed Site Supervisor posted the Notice of Site Visit

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020

LIC809 (FAS) - (06/04)

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