406208957-1-13-2020-17-CC-MKST-BKSRG6-20200113120014

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406208957
Report Date: 01/13/2020
Date Signed: 01/13/2020 12:00:22 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:	OPEN DOOR PRE-SCHOOL		FACILITY NUMBER:	406208957
ADMINISTRATOR:	ESTHER MYERS		FACILITY TYPE:	850
ADDRESS:	1940 PASO ROBLES STREET		TELEPHONE:	(805) 489-6327
CITY:	OCEANO	STATE: CA	ZIP CODE:	93445
CAPACITY:	36	CENSUS: 16	DATE:	01/13/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Esther Myers		TIME COMPLETED:	12:05 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	Licensing Program Analyst (LPA), Melissa Stewart, conducted an unannounced annual/random inspection and met with Director, Esther Myers. The preschool operates, Monday - Friday, 7am - 5:30pm. All required forms, including snack menu, are posted at the main entrance of the center. The center was toured inside and outside. At the time of inspection, Director was supervising eight (8) children in the Pre-K class while another teacher was supervising eight (8) children in the preschool classroom. The number of children signed in by parents corresponded with the number of children present. The classrooms and restrooms were observed to be clean and free of toxins. LPA observed indoor activity centers containing age appropriate books, puzzles, toys, blocks, arts and crafts and dramatic play materials. The center has a first aid kit stored in the kitchen and a carbon monoxide detector in each classroom. A disaster drill was conducted on 8/26/19. Director reported that there are no firearms, ammunition or bodies of water on the premises. The outdoor activity area contains playhouses, play car and age appropriate climbing structure with wood chips to absorb a fall. Drinking water is available inside and outside via faucets and disposable cups. Director has current Pediatric CPR and First Aid certification which expires on 1/8/21. Staff have completed AB 1207 Mandated Reporter Training and have met immunization requirements per SB 792. A sample of children's files were reviewed and found complete. Continued on 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020

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: OPEN DOOR PRE-SCHOOL	FACILITY NUMBER: 406208957
	VISIT DATE: 01/13/2020

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
26
27
28
29
30
31
32

Director reported that there are no children currently enrolled who require IMS. 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: www.ada.gov/childqanda.htm

LPA reviewed and provided Licensee with a copy of “Safe to Sleep" brochure. Director reported that the “Effects of Lead Exposure” brochure is distributed to all families at time of enrollment. Director was advised to review Quarterly Updates and Provider Information Notices (PINs) which can be accessed on-line at www.ccld.ca.gov.

In areas evaluated, no deficiencies cited.

LPA observed Director post the Notice of Site visit.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2