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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406209180
Report Date: 11/07/2019
Date Signed: 11/07/2019 11:13:34 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:PIFER EARLY LEARNING CENTERFACILITY NUMBER:
406209180
ADMINISTRATOR:NANCY NORTON - T5FACILITY TYPE:
850
ADDRESS:1350 CRESTON RD.TELEPHONE:
(805) 237-3435
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:22CENSUS: 10DATE:
11/07/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Annetta AlbersTIME COMPLETED:
11:20 AM
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(2) Licensing Program Analyst (LPA), Melissa Stewart, conducted an unannounced annual/random inspection and met with Site Supervisor, Annetta Albers. The preschool operates, Monday - Friday, 8:15am - 11:15am (morning session) and 12:15pm-3:15pm (afternoon session). All required forms, including monthly menu, are posted at the main entrance of the center. The center was toured inside and outside. At the time of inspection, there were 2 teachers supervising 10 children who were actively engaged in outdoor activities. The outdoor activity area contains an age appropriate climbing structure with foam cushioning to absorb a fall. LPA observed grassy area, shade, sandbox, playhouse and toys. Drinking water is available both inside and outside. The classroom was clean, organized and free of toxins. LPA observed indoor activity centers containing books, puzzles, manipulatives, blocks, arts and crafts and dramatic play materials. The center conducts and documents safety drills. An earthquake drill was held on 10/17/19. The center has a functioning carbon monoxide detector. Site Supervisor reported that there are no firearms, ammunition or bodies of water on the premises. The restrooms used by children were observed to be clean.

A review of staff files revealed that staff have completed AB 1207 Mandated Reporter Training, have current Pediatric CPR and First Aid certification, and have documentation of education, training and experience. Both staff have met immunization requirements per SB 792. Continued on 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019
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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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: PIFER EARLY LEARNING CENTER
FACILITY NUMBER: 406209180
VISIT DATE: 11/07/2019
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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: www.ada.gov/childqanda.htm

LPA reviewed and provided Licensee with a copy of “Safe to Sleep" brochure. Site Supervisor reported that the “Effects of Lead Exposure” brochure is distributed to all families at time of enrollment. Site Supervisor 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 MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2