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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406212537
Report Date: 08/05/2021
Date Signed: 08/05/2021 11:34:17 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:ST. PATRICK'S MERCY PRESCHOOLFACILITY NUMBER:
406212537
ADMINISTRATOR:MELISSA WARDFACILITY TYPE:
850
ADDRESS:900 W. BRANCH ST.TELEPHONE:
(805) 473-2517
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY:45CENSUS: 16DATE:
08/05/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Melissa WardTIME COMPLETED:
11:30 AM
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On 8/5/21, at 9:00 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection the abovementioned Child Care Center (CCC). The LPA met with Melissa Ward, Director of the CCC and explained the purpose of the inspection. The LPA, in the company of Director, toured the interior and exterior of the CCC. The CCC operates from 7:00 AM to 5:30 PM, Monday - Friday. The CCC uses four classrooms (Room 1- ages 3-4, Room 2- ages 4, Room 3 ages 4-5 and Room 4-unoccupied) for child care. LPA observed 16 children on site during the inspection along with three teachers (associated and cleared).

The classrooms of the CCC are clean and organized. The classrooms had age appropriate toys and furnishings available for children as well as appropriate ventilation. The CCC has operable carbon monoxide detectors (2). At 10:15 AM, a carbon monoxide detector was tested and found to be operational. The restrooms in the CCC are is in safe and sanitary operating condition. LPA observed an refrigerator in CCC's kitchen which is operational and inaccessible to children in care. LPA notes snacks and lunches containing essential food groups are provided the by parents of children in care, while the CCC has available food items on site in the instant a parent has failed to provide snacks or lunches for their respective child. Child in care have access to water provided by the CCC both inside and outside the facility. Disinfectants and cleaning solutions are secured in the CCC's [janitorial] closet and kitchen cabinet underneath the sink. Each location is inaccessible to children in care. Likewise, medication in the CCC is stored in a kitchen cabinet and inaccessible to children in care. LPA observed sharps at the CCC on elevated cabinet shelves in each room. The aforementioned is beyond the reach of children in care.

LPA reviewed a posted menu along with licensing required notices and documents posted predominately near the CCC's entry. LPA observed Sign In/Out forms near the same location which are completed appropriately.



The CCC an outdoor playground area which is enclosed by wooden fencing. The footing in the area is
(CONT 809-C)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021
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: ST. PATRICK'S MERCY PRESCHOOL
FACILITY NUMBER: 406212537
VISIT DATE: 08/05/2021
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made up of grass, concrete walkways and a large sand box. LPA observed age appropriate toys and play equipment in the play area. The toys and play equipment are in suitable condition and free of sharp, loose or pointed objects. The play structure in the playground area has adequate cushioning materials to absorb falls (sand) and an abundance of shade. No bodies of water were observed on site. Waste receptacles with tight fitting covers were observed throughout the center.

A sampling of staff and children records are reviewed. The children’s records are complete and found to contain emergency contact information as well as medical assessments. Staff records are reviewed and contained current Pediatric CPR/First Aid and Mandated Reporter certifications . Director informed LPA no firearms or ammunition is stored on the premises.

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 Family Child Care Homes Section 102417. 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 discussed COVID 19 guidance and best practices with the Director. Director was reminded that it is Director's responsibility to know the regulations for a CCC which can be accessed on-line at www.ccld.ca.gov.


In areas evaluated, there were no deficiencies cited at this time.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021
LIC809 (FAS) - (06/04)
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