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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406208456
Report Date: 12/07/2021
Date Signed: 12/07/2021 12:58:42 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:CUESTA COLLEGE CHILDREN'S CENTERFACILITY NUMBER:
406208456
ADMINISTRATOR:KATIE MERVINFACILITY TYPE:
850
ADDRESS:4000 CHORRO VALLEY RD.TELEPHONE:
(805) 546-3285
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93403
CAPACITY:44CENSUS: 13DATE:
12/07/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Madelyn ChevalierTIME COMPLETED:
01:00 PM
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On 12/7/21, at 9:30 AM , Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection the abovementioned Child Care Center (CCC). The LPA met with Madelyn Chevalier, Director of the CCC and explained the purpose of the inspection. The LPA, in the company of Director, toured the interior and exterior of the CCC. The center operates from 7:30 AM to 5:15 PM, Monday - Friday. The center use three classrooms (Toddler Room ages 18 months- 3 years, Preschool Room 1- ages 2.5-4 and Preschool Room 2- ages 3.5-5) for child care. LPA observed 13 children on site during the inspection along with 4 (cleared and associated) teachers providing care and supervision.

The classroom used for child care of the are organized and clean. Each Classroom has age appropriate toys and furnishings available for children. The CCC has carbon monoxide detectors throughout. A carbon monoxide detector was tested in Preschool Room 1 at 12:20 PM and found to be operable.

The restrooms used for care are in safe and sanitary operating condition. LPA observed an operable refrigerator in the CCC's kitchen. The CCC provides snacks and lunches for toddlers. Preschool age children bring lunches from their respective homes, while the center provides snacks. CCC staff view children's lunches to ensure the lunches contain healthy food items and are free of items considered to be junk food. There is available drinking water for children both inside the classroom and outside in the play area. Disinfectants, cleaning solutions, sharps and medications are stored in elevated locations throughout the CCC which are inaccessible to children in care.

The CCC's outdoor playground areas are enclosed by chain link fencing. The fences' entry/exit gates are secured. LPA observed age appropriate toys and play equipment in the play areas. The toys and play equipment are in suitable condition and free of sharp, loose or pointed objects. The play structures in the playground areas have ample cushioning (ie wood chips and artificial grass with foams) materials to absorb falls and an abundance of shade created by trees, shade covers and building overhangs. No bodies of water were observed on site. Waste receptacles with tight fitting covers were observed throughout the CCC.

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

DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021
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: CUESTA COLLEGE CHILDREN'S CENTER
FACILITY NUMBER: 406208456
VISIT DATE: 12/07/2021
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LPA reviewed posted menus along with licensing required notices and documents posted predominately in the CCC hallway and near the facility's entrance. LPA observed Sign In/Out documentation which noted entries contain the arrival and departure times of children in care and as well as notations from authorized representatives/parents.

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. Staff records were reviewed and contained pediatric CPR and First Aid certifications as well as Mandated Report certifications. Director informed LPA no firearm or ammunition is stored on the premises.

This facility 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 Child Care Centers Sections 101173 and 101226.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 and over, 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 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.

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 Madelyn Chevalier.

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

DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021
LIC809 (FAS) - (06/04)
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