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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406209096
Report Date: 06/10/2019
Date Signed: 06/10/2019 02:36:46 PM

COMPREHENSIVE INSPECTION
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:S.T.A.R.S.FACILITY NUMBER:
406209096
ADMINISTRATOR:ELLA PORTERFACILITY TYPE:
830
ADDRESS:1402 GOLDEN HILL RD.TELEPHONE:
(805) 238-0200
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:25CENSUS: 17DATE:
06/10/2019
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Debbie GoughTIME COMPLETED:
02:45 PM
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A required inspection was conducted by Licensing Program Analysts (LPAs) S. Mendoza-Ceja and M. Stewart who met with Debbie Gough. The center was toured inside and outside. The infant program operates, Monday - Friday, 6:30 AM - 6:00 PM. The classrooms were observed to be clean and orderly. The appropriate documents were posted for review. The last fire/emergency disaster plan was conducted on 04/08/2019. There is carbon monoxide detector in the center. LPA was advise there are no firearms, ammunition or bodies of water on the premises. LPAs did not observe any bodies of water on the premises. LPA reviewed the medication which is maintained in the office inaccessible to children. The first aid kit was inspected. The restrooms were observed to clean and changing tables within arms reach of a sink. The outside playground was observed to be maintained and age appropriate. A random review was conducted of children's records and the sign in/out sheets to ensure legal signature is used. Staff records were reviewed. There is one staff current with CPR and First Aid. CPR and First Aid training is scheduled for 06/22/2019. The handouts “A Child Care Provider’s Guide to Safe Sleep, Safe Sleep in Child Care, and Effects of Lead Exposure" were reviewed. LPA reviewed the requirement for care providers/employees, including volunteers to obtain immunization against Influenza, Pertussis, and Measles. LPA reminded, each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year or obtain a sign statement declining the influenza vaccination. Also reviewed were the completion of the AB 1207 Child Mandated Reporter Training for staff.
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

No deficiency cited. LPA observed the Notice of Site Visit posted.



FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2019
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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