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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406206830
Report Date: 10/15/2021
Date Signed: 10/15/2021 11:57:13 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:SAN LUIS OBISPO CHILD DEVELOPMENT CENTERFACILITY NUMBER:
406206830
ADMINISTRATOR:MICHELLE HOLMFACILITY TYPE:
850
ADDRESS:1720 BISHOP ST.TELEPHONE:
(805) 544-0801
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY:83CENSUS: 37DATE:
10/15/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Michelle HolmTIME COMPLETED:
11:30 AM
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On 10/15/21 at 9:30 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection the abovementioned Child Care Center (CCC). LPA met with Michelle Holm, Director of the CCC and explained the purpose of the inspection. The LPA, in the company of the Director, toured the interior and exterior of the CCC. The CCC operates from 7:30 AM to 5:30 PM, Monday - Friday. The CCC uses 4 classrooms (Pre Kindergarten Classroom- ages 4 and above, Preschool Classroom- ages 3-4, Toddler Classroom ages 2-3 and an Early Learner Classroom -currently vacant) for care. LPA observed 37 children on site along with 11 teachers (cleared and associated) providing supervision.

All classrooms of the CCC were clean and organized. The classrooms had age appropriate toys and furnishings available for children in care. The CCC has operable carbon monoxide detectors in each classroom. LPA tested a carbon monoxide detector in the CCC's Preschool Classroom at 10:20 AM Restrooms are attached to classrooms at the CCC. Each restroom was observed in safe and sanitary operating condition. LPA observed an operable refrigerator and cooler in the CCC's kitchen which contained food and beverages for children in care. LPA notes snacks and lunches are provided by the CCC. LPA observed food menus posted in the CCC. There is available drinking water for children both inside the classroom and outside in the play area.

Disinfectants and cleaning solutions are observed in secured cabinet in each classroom. Likewise, sharps are located in the teachers offices of each classroom. The teacher's offices are secure and inaccessible to children in care. Medication at the CCC is stored in elevated cabinets in reach classroom. The location of the medication is beyond the reach of children in care and secured. LPA observed waste receptacles with tight fitting covers throughout the interior and exterior of the CCC.

The CCC has an electronic sign In/out system (Bright Wheels). A portal for the system is at the CCC's entry. LPA reviewed system entries and found entries to contain appropriate sign in/sign out information. LPA notes required licensing documents and forms are posted in a hallway wall near the entry of the CCC.

(CONT.809-C)

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

DATE: 10/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021
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 2
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: SAN LUIS OBISPO CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 406206830
VISIT DATE: 10/15/2021
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The CCC has four outdoor playground areas. Each playground is enclosed by chain link fencing and partitioned by iron rod fences to create divisions. The fences' entry/exit gates are secured. LPA observed age appropriate toys and play equipment in each of the the play areas. The toys and play equipment observed are in suitable condition and free of sharp, loose or pointed objects. The play structures in the playground areas have adequate cushioning materials to absorb falls and an abundance of shade created by trees and building overhangs. No bodies of water are observed on site.

A sampling of staff and children's records are reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records. Staff member's records were reviewed and contained current CPR and First Aid certifications, Mandated Reporter certifications and well as teacher qualifications. Director informed LPA no firearm or ammunition is stored on site.

This CCC provides Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

LPA discussed COVID 19 guidance and best practices with the Director. Director is reminded that it is Director's responsibility to know the regulations for a CCC which can be accessed on-line at www.ccld.ca.gov



In areas evaluated, there were no deficiencies cited at this time.

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 APPLY

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

DATE: 10/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2