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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406213509
Report Date: 01/14/2020
Date Signed: 01/14/2020 11:15:17 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:TEMPLETON YOUTH CENTER PRESCHOOLFACILITY NUMBER:
406213509
ADMINISTRATOR:WENDY RASMUSSENFACILITY TYPE:
850
ADDRESS:599 SOUTH MAIN STREETTELEPHONE:
(805) 434-4909
CITY:TEMPLETONSTATE: CAZIP CODE:
93465
CAPACITY:30CENSUS: DATE:
01/14/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Wendy RasmussenTIME COMPLETED:
11:20 AM
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Licensing Program Analyst (LPA) Melissa Stewart conducted an unannounced annual random inspection and met with Director, Wendy Rasmussen. The preschool operates in the Templeton Community Center on Tuesday, Wednesday and Thursday, 8am - 12pm. All required forms, including monthly menu, are posted above the sign in and out sheet. The preschool was toured inside and outside. There were two staff supervising 17 children who were actively engaged in outdoor activities. The number of children signed in by parents corresponded with the number of children present. The preschool uses three rooms indoors. LPA observed indoor activity centers containing age appropriate books, puzzles, manipulatives, blocks, arts and crafts and dramatic play materials. There is a carbon monoxide detector that is monitored with a company that reports the tests to the Templeton Youth Center Preschool. The outdoor activity area is completely fenced and equipped with age appropriate play structure (with cushioning to absorb a fall) bike area and shade area. Director reported that there are no firearms, ammunition or bodies of water on the premises. The restrooms used by children were observed to be clean and free of toxins. Drinking water is available both inside and outside.

Director has current CPR and First Aid certification which expires on 8/23/20. Staff have completed AB 1207 Mandated Reporter Training and have met immunization requirements per SB 792. A sample of children's files were reviewed and found complete. 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: 01/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020
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: TEMPLETON YOUTH CENTER PRESCHOOL
FACILITY NUMBER: 406213509
VISIT DATE: 01/14/2020
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Incidental Medical Services (IMS) policy was discussed. Director reported that that there are no children currently enrolled who require IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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 provided Director with the “Effects of Lead Exposure” brochure is distributed to all current and newly enrolled families. Director 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: 01/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020
LIC809 (FAS) - (06/04)
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