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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406212537
Report Date: 02/25/2022
Date Signed: 02/25/2022 02:00:21 PM


Document Has Been Signed on 02/25/2022 02:00 PM - 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: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: 23DATE:
02/25/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Lori CamposTIME COMPLETED:
02:00 PM
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On 2/25/22, at 1:00 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Case Management – COVID-19 inspection and met with Lori Campos Assistant Director of the abovementioned Child Care Center. LPA informed Assistant Director of the purpose for the inspection and completed a COVID-19 pre-screening questions prior to the commencement of the inspection. LPA, along with Assistant Director, toured the facility, inside and outside.

This inspection is a follow-up on COVID-19 outbreaks reported by facility staff to CCLD between 1/20/22- 1/26/22. CCLD provided a Tele - Rapid Assistance Support Team (RAST) inspection on 6/10/20, where CCLD provided COVID-19 resources, current Childcare Industry Guidance, and a COVID-19 Self-Assessment guide to the facility.

LPA observed facility staff wearing masks upon arrival to the facility. Children in care were sleep and unmasked at the time of the visit however Assistant Director reported children wear face covering inside the facility. CCC has disinfectants and cleaning compounds throughout the facility which are readily available to staff members but inaccessible to children in care. COVID postings related to mitigations were observed throughout the CCC. Temperatures of individuals entering the CCC are taken outside the entry of the facility and on site visiting continues to be limited.

LPA discussed facility’s written plan when a staff member or child tests positive for COVID-19 and developing a written communication plan with parents/guardians to share information and guidelines in their preferred language. LPA discussed COVID-19 Vaccines, Testing, Face coverings, Essential Protective Equipment and Supplies, Physical Distancing, Ventilation, Isolation for Illness, Cleaning and Disinfection, Hand washing, Food Service and Meal Times, How to Respond to Exposures or Outbreaks, and Resilience Tips during the Pandemic.
(CONT. 809-C)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 02/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/25/2022
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: 02/25/2022
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LPA reviewed that facility maintains a current COVID-19 Child Care Program Self-Assessment Guide/Mitigation plan. LPA also provided the following resources:
- Official Public Health and Child Care Guidance for COVID-19 – Updated 2/18/22.
- COVID-19 Child Care Resources:
https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/child-care-licensing/covid-19-child-care-resources

There were no deficiencies cited during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Assistant Director Lori Campos.


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

DATE: 02/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2022
LIC809 (FAS) - (06/04)
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