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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406213520
Report Date: 01/13/2020
Date Signed: 01/13/2020 02:57:21 PM

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:INSPIRATIONS PRESCHOOL CENTERFACILITY NUMBER:
406213520
ADMINISTRATOR:TERRY DEL GIORGIOFACILITY TYPE:
850
ADDRESS:925 VINE ST.TELEPHONE:
(805) 238-6888
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:52CENSUS: 30DATE:
01/13/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:36 PM
MET WITH:Terry Del GiorgioTIME COMPLETED:
03:05 PM
NARRATIVE
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Licensing Program Analyst (LPA) Gigi Reyes conducted an annual/random and met with Director Terry Del Girogio. There were 6 toddlers, 24 preschool children and 7 teachers present including the director during the inspection. Three classrooms are used by day care children. The Center was toured inside and out and LPA observed the following:
  • Classrooms are equipped with age and size appropriate furniture and equipment.
  • Water jug with dispenser supplies the drinking water in the indoor space for each classroom.
  • Playground is enclosed with an appropriate fence
  • An adequate amount of sand 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 is present in each classroom but not tested due to napping children.
  • Menus and required licensing forms are posted in the prominent location.


A review of staff records and children's records were conducted. CPR and first Aid expires on 11/2021. Review of staff records indicates that all staff have criminal record clearance. Staff met the SB 792 requirements - Immunization records are on file. Staff have taken the AB 1207 Mandated Reporter Training. Effects of Lead Exposure was discussed. The flyer was provided for distribution to parents of day care children. Children's files were randomly reviewed.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: INSPIRATIONS PRESCHOOL CENTER
FACILITY NUMBER: 406213520
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/13/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/27/2020
Section Cited

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For each prescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child.

This requirement is not met as evidenced by:
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Based on LPA review of Child # 1's file and medication, it was observed that form LIC 9221, Parent Consent for Administration of Medication was not on file. Diretor stated, it must have been misfiled since daycare children went for a nature walk and the medication, Epinephrine was pulled out and taken during the walk. This poses a potential risk to health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:
DATE: 01/13/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/13/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: INSPIRATIONS PRESCHOOL CENTER
FACILITY NUMBER: 406213520
VISIT DATE: 01/13/2020
NARRATIVE
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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 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 review of Child # 1's file and medication revealed that there is no parent consent for administration of a medication on file for Child # 1(LIC 9221).

During today's inspection deficiency was cited under Title 22 Division. Appeal Rights Given.

LPA observed Director posted Notice of Site Visit.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3