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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406208456
Report Date: 12/02/2022
Date Signed: 12/02/2022 03:24:39 PM


Document Has Been Signed on 12/02/2022 03:24 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:CUESTA COLLEGE CHILDREN'S CENTERFACILITY NUMBER:
406208456
ADMINISTRATOR:MADELYN CHEVALIERFACILITY TYPE:
850
ADDRESS:4000 CHORRO VALLEY RD.TELEPHONE:
(805) 546-3285
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93403
CAPACITY:44CENSUS: 24DATE:
12/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Madelyn ChevalierTIME COMPLETED:
11:15 AM
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On 12/2/22, at 9:00 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year 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 on the campus of Cuesta College from 7:30 AM to 5:15 PM, Monday - Friday. The CCC 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 24 children on site during the inspection along with six teachers (cleared and associated) providing care and supervision.

Each classroom used for child care is organized. The classroom have age appropriate toys and furnishings available for children in care. The CCC has carbon monoxide detectors throughout the facility. A carbon monoxide detector was tested in Preschool Room 1 at 10:30 AM and found to be operable. The restrooms used for care are in sanitary operating condition. LPA observed an operable refrigerator in the CCC's kitchen. The CCC provides snacks, while lunches are brought from the children's homes. CCC staff members view children's lunches to ensure the lunches contain healthy food items and foods from the essential food groups. There is available drinking water for children both inside the classroom and outside in the play area. The CCC had it water sources tested for lead containments. Test results are posted on the CCC's parent board along with required licensing forms and notices. LPA observed Sign In/Out documentation near the CCC's entry which noted arrival and departure times of children in care and as well as signatures from authorized representatives. 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 has varied footing and is 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
(CONT. LIC 809-C, Page 2)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 12/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/02/2022
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: CUESTA COLLEGE CHILDREN'S CENTER
FACILITY NUMBER: 406208456
VISIT DATE: 12/02/2022
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structures in the playground areas have material for cushioning to absorb falls. The CCC has an abundance of shade created by trees, shade covers and building overhangs. No bodies of water are observed on site. Waste receptacles with tight fitting covers are observed throughout the CCC. Director was reminded to replace toys and play equipment , both inside and out, when such items begin to degrade and are not in good repair.

A sampling of staff and children's records were reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records. Records also included documentation of 15 minute sleep checks. Staff records were reviewed and current with Pediatric First Aid/CPR (EMSA Approved) and Mandated Reporter Training certifications, as well as documentation supporting qualifications and experience. Director informed LPA no firearms or ammunition are on site.

Incidental Medical Services (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

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.

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.

(CONT. LIC 809-C, Page 3)

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

DATE: 12/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2022
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: CUESTA COLLEGE CHILDREN'S CENTER
FACILITY NUMBER: 406208456
VISIT DATE: 12/02/2022
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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: 12/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3