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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406206384
Report Date: 02/25/2022
Date Signed: 02/25/2022 03:21:08 PM


Document Has Been Signed on 02/25/2022 03:21 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:CAPSLO - STEP BY STEP EARLY HEAD STARTFACILITY NUMBER:
406206384
ADMINISTRATOR:A. RAMIREZ-BARRONFACILITY TYPE:
830
ADDRESS:1055 MESA VIEW DRIVETELEPHONE:
(805) 474-3750
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY:16CENSUS: 0DATE:
02/25/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Ruby AlcantarTIME COMPLETED:
03:30 PM
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On 2/25/22, at 2:20 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Case Management – COVID-19 inspection and met with Ruby Alcantar Site Supervisor of the abovementioned Child Care Center. LPA informed Site Supervisor of the purpose for the inspection and completed a COVID-19 pre-screening questions prior to the commencement of the inspection. LPA, along with Site Supervisor, toured the facility, inside and outside.

This inspection is a follow-up on COVID-19 outbreaks reported by facility staff to CCLD between 1/31/22- 2/10/22. CCLD provided a Tele - Rapid Assistance Support Team (RAST) inspection on 8/12/20, where CCLD provided COVID-19 resources, current Childcare Industry Guidance, and a COVID-19 self-assessment guide to the facility.

LPA observed facility staff wearing masks upon arrival to the facility. No children were on site. It should be noted the CCC is an infant program with a toddler option and children over the age of two are encouraged to wear face coverings. Site Supervisor notes four children are currently enrolled in the CCC which are over the age of two. CCC has disinfectants and cleaning compoundsthroughout the facility which are readily available to staff members but inaccessible to children in care. COVID postings related to mitigations are observed throughout the CCC. Temperatures of individuals entering the CCC are taken outside the entry of the facility and staff members asked individuals entering the CCC COVID related pre screening questions.

LPA discussed facility’s written plan when a staff member or child tests positive for COVID-19 and developing a written communication plan with parents/guardians to share information and guidelines in their preferred language. LPA discussed COVID-19 Vaccines, Testing, Face coverings, Essential Protective Equipment and Supplies, Physical Distancing, Ventilation, Isolation for Illness, Cleaning and Disinfection, Hand washing, Food Service and Meal Times, How to Respond to Exposures or Outbreaks, and Resilience Tips during the Pandemic.
(CONT. 809-C)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 02/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/25/2022
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: CAPSLO - STEP BY STEP EARLY HEAD START
FACILITY NUMBER: 406206384
VISIT DATE: 02/25/2022
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LPA reviewed that facility maintains a current COVID-19 Child Care Program Self-Assessment Guide/Mitigation plan. LPA also provided the following resources:
- Official Public Health and Child Care Guidance for COVID-19 – Updated 2/18/22.
- COVID-19 Child Care Resources:
https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/child-care-licensing/covid-19-child-care-resources

There were no deficiencies cited during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Site Supervisor Ruby Alcantar.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2022
LIC809 (FAS) - (06/04)
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