406206384-11-3-2022-17-CC-EBAY-CKTSAL-20221103134231

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406206384
Report Date: 11/03/2022
Date Signed: 11/03/2022 01:43:33 PM

Document Has Been Signed on 11/03/2022 01:43 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 START		FACILITY NUMBER:	406206384
ADMINISTRATOR:	A. RAMIREZ-BARRON		FACILITY TYPE:	830
ADDRESS:	1055 MESA VIEW DRIVE		TELEPHONE:	(805) 474-3750
CITY:	ARROYO GRANDE	STATE: CA	ZIP CODE:	93420
CAPACITY:	16	CENSUS: 10	DATE:	11/03/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:55 AM
MET WITH:	Ruby Alcantar		TIME COMPLETED:	02:00 PM

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	On 11/3/22 at 11:55 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required Inspection of the abovementioned Child Care Center (CCC). LPA met with Ruby Alcantar, Site Supervisor, of the CCC and explained the purpose of the Inspection. LPA in the company of the Supervisor toured the interior and exterior of the CCC. The CCC operates from 7:30 AM to 3:00 PM, Monday - Friday. The CCC is a Infant program with a toddler option. LPA observed ten children on site along with six teacher (cleared and associated).providing care and supervision. The CCC has ventilation, as well as heating, to afford for children in care. LPA observed age appropriate toys and furnishings throughout the CCC. The CCC has four cribs on site. Site Supervisor notes additional cribs are available for children should more be needed. Napping cots are on site and available for the children with increased levels of mobility. LPA observed multiple carbon monoxide detectors on site. A detector was not tested as a number of children were napping during the inspection. The detector will be tested post inspection. The CCC's bathroom is in safe and sanitary operating condition. Additionally, change tables are available with a sink within arm's reach. The CCC has an operable refrigerator. The refrigerator houses children's foods which are labeled and dated. The CCC provides the children in care bottled water. Site Supervisor is reminded of the necessity to test the CCC's water supplies for lead containments. The CCC provides snacks and lunches for older children capable of eating. LPA observed menus posted in the classrooms along with required licensing notices and documents. Sign In/Out forms are maintained for each individual child. The forms contain the children's arrival and departure times as well as the signatures of the children's authorized representatives. It should be noted the CCC is very clean, orderly and well organized. Disinfectants and cleaning solutions are secure in a cabinet in the kitchen area which is inaccessible to children in care. There is no medication on site, however the Supervisor informed LPA medication is stored in a secure location in the kitchen area when on site. (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: 11/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022

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: 11/03/2022

NARRATIVE

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The CCC has an outdoor play area for both infants and toddlers. The area is partitioned by chain linked fencing to create space for each group. LPA observed age appropriate toys/play equipment in the play area. The toys/play equipment are free of sharp, loose or pointed objects. Site Supervisor is reminded to replace toys/play equipment which begins to degrade or is not in good repair. There is ample shade provided in the outdoor play area created by coverings. Play structures also have ample material at the base for cushioning. Three locked sheds are in the outdoor play area. The sheds contain center supplies and equipment. No bodies of water were observed on site.

Children's record were reviewed and found to be complete. LPA observed sleep plans as well as sleep logs completed in 15 minute intervals. Children in care have needs and service plans as well as immunization records and emergency contact information, among other things. Staff Pediatric CPR/ First Aid and Mandated Reporter certifications are current. Site Supervisor informed LPA no firearms or ammunition are stored on site.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing 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

Facility Representative was reminded that all adults 18 years of age working in the CCC including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with Facility Representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an or additional resource. LPA also informed Facility Representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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 Ruby Alcantar

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022

LIC809 (FAS) - (06/04)

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