<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406214424
Report Date: 12/09/2022
Date Signed: 12/09/2022 02:00:14 PM


Document Has Been Signed on 12/09/2022 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:CAPSLO-NIPOMO HEAD STARTFACILITY NUMBER:
406214424
ADMINISTRATOR:A. RAMIREZ-BARRONFACILITY TYPE:
850
ADDRESS:291 THOMPSON ROADTELEPHONE:
(805) 544-4355
CITY:NIPOMOSTATE: CAZIP CODE:
93444
CAPACITY:30CENSUS: 0DATE:
12/09/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Adriana Ramirez-Barron and Angela Rico TIME COMPLETED:
02:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 12/9/22, at 1:01 PM, Licensing Program Analyst (LPA) Elvin Baddley made an unannounced inspection to follow up on an Unusual Incident Report (UIR) received by the Department on 12/7/22, concerning a child, herein C1, touching the genital of another child, herein C2 while seating on a cot at the abovementioned Child Care Center (CCC). LPA met Adriana Ramirez-Barron, Early Head Start and State Child Development Program Director, and Angela Rico, Area Manager of the Community Action Partnership of San Luis Obispo (CAPSLO). LPA notes CAPSLO is the Licensee of the abovementioned CCC which is currently closed. As such LPA met with Child Development Program Director and Area Manager at the CAPSLO Headquarter (1030 Southwood Drive, San Luis Obispo, CA 93401) for a visit as opposed to an inspection. LPA notes no children are present.

LPA explained the nature of the visit and the UIR was discussed.The incident was discussed as children being exploratory as opposed to children engaged in nefarious activities. Further, staff members were properly positioned to observed children in care, yet the incident occurred despite. Area Manager informed LPA the parents of C1 and C2 were informed of the Incident. Likewise, facility staff members discussed the incident with C1 and C2. A curriculum addressing the subject matter was discussed with all children in care.

No deficiencies are cited during today's visit and a Notice of Site Visit form was provided to Child Development Program Director and Area Manager. Child Development Program Director and Area Manager are to ensure Notice of Site Visit is posted at facility for 30 days or a civil penalty of $100 may be issued.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 12/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/09/2022
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 1