406209180-3-3-2020-17-CC-GRES-BMCMKJ-20200303084050

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406209180
Report Date: 03/02/2020
Date Signed: 03/03/2020 08:41:38 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 CENTER		FACILITY NUMBER:	406209180
ADMINISTRATOR:	NANCY NORTON - T5		FACILITY TYPE:	850
ADDRESS:	1350 CRESTON RD.		TELEPHONE:	(805) 237-3435
CITY:	PASO ROBLES	STATE: CA	ZIP CODE:	93446
CAPACITY:	22	CENSUS: 12	DATE:	03/02/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Annetta Albers		TIME COMPLETED:	10:55 AM

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) Gigi Reyes conducted an unannounced annual/random and met with Site Supervisor, Annetta Albers. There were twelve (12) children and two (2) teachers present during the inspection. The preschool operates, Monday - Friday, 8:15am - 11:15am (morning session) and 12:15pm-3:15pm (afternoon session). The pre school center is located at Winifred Pifer Elementary School. LPA toured the Center and observed the following: Classroom is equipped with age and size appropriate furniture and equipment. Water faucet supplies the drinking water in the indoor space. Playground is enclosed with an appropriate fence. An adequate amount of rubber mat cushioning is in place under play equipment. Drinking water is provided in the outdoor play area by a drinking fountain. Sign in/sign out record was reviewed and matched the physical count. Carbon monoxide was tested and found functional. Fire and Disaster Drill is conducted and Documented every month. Menus and required licensing forms are posted in the prominent location. Site Supervisor stated no guns or ammunition in the Center. There were nobodies of water observed. LPA reviewed the staff records and children's records and found complete. CPR and first Aid expires on 08/24/2021. Site Supervisor and staff have met the SB 792 requirements. Staff have taken the AB 1207 Mandated Reporter Training. Continued on 809 C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2020

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: 03/02/2020

NARRATIVE

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The Center 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

LPA reviewed and provided Site Supervisor with a copy of “Safe to Sleep" brochure. Site Supervisor stated 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 the areas evaluated, no deficiencies were cited under Title 22 Division 12.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2020

LIC809 (FAS) - (06/04)

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