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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406210226
Report Date: 09/18/2024
Date Signed: 09/20/2024 08:42:19 AM

Document Has Been Signed on 09/20/2024 08:42 AM - 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:NIPOMO EARLY LEARNING CENTERFACILITY NUMBER:
406210226
ADMINISTRATOR/
DIRECTOR:		LAUREN THORNE - T5FACILITY TYPE:
850
ADDRESS:525 NORTH THOMPSON AVETELEPHONE:
(805) 929-1114
CITY:NIPOMOSTATE: CAZIP CODE:
93444
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 13DATE:
09/18/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Melanie PowersTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
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On September 19, 2024 at 9:30 AM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Annual/Random Inspection at the above Child Care Center (CCC) LPA met with Site Supervisor Melanie Powers and 2 substitute teachers from San Luis Obispo County of Education (SLOCoE), Ms. Sam Edwards and Ms Lauren. Ornellas LPA explained the purpose of the inspection. CCC operates from 9:00 AM to 12:00 PM and provides care to children age 3 to 5 years old.

During the inspection, LPA observed 13 day care children having snack in the classroom provided by the CCC. It was observed that licensing required forms are posted in the wall. LPA observed various activities, along with age appropriate toys, equipment and manipulative in the classroom. The CCC ensures that children have easy access to drinking water, staff uses Brita pitcher to refill children's personal water bottle.
Upon arrival, Ms. Powers notified LPA that Nipomo High School ground was under locked down, but certain details were not announced. LPA observed the outdoor area from the classroom noting that there were no apparent hazards. CCC conducts and documents fire and disaster drill every 4 months. Last drill was conducted on 9/09/2024. Nobodies of water was observed, Site supervisor confirmed that there are no guns or ammunition in the CCC.

Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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: NIPOMO EARLY LEARNING CENTER
FACILITY NUMBER: 406210226
VISIT DATE: 09/18/2024
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LPA reviewed sign-in/out sheet and found that the records were consistent with the no. of children present. LPA also reviewed the staff records, Site Supervisor has valid Child Development Program Director Permit which expires on 3/1/2029, the Pediatric First Aid/CPR certificates expires on 6/2025. Mandated reporter training certificate expires on 8/19/2026. The substitute teachers.' files are stored at the office of SLOCoE.

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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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: NIPOMO EARLY LEARNING CENTER
FACILITY NUMBER: 406210226
VISIT DATE: 09/18/2024
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Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

LPA verified that the lead testing was completed on 11/02/2022 in accordance to the Written Directives outlined in PIN 21-21.1-CCP

During today's inspection, no deficiency was cited.

Exit interview conducted and report was reviewed with Site Supervisor, Ms. Melanie Powers

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC809 (FAS) - (06/04)
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