406215156-2-5-2020-17-CC-EBAY-BLHTFG-20200205134132

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215156
Report Date: 02/05/2020
Date Signed: 02/05/2020 01:41:38 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:	TRUST CHILDREN'S CENTER		FACILITY NUMBER:	406215156
ADMINISTRATOR:	SARAH DAVIS		FACILITY TYPE:	830
ADDRESS:	4085 EARTHWOOD LANE		TELEPHONE:	(805) 548-1286
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93401
CAPACITY:	10	CENSUS: 8	DATE:	02/05/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Sarah Davis		TIME COMPLETED:	12:30 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 February 5, 2020, at 11:00 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Annual/Random inspection of the abovementioned Child Care Center (CCC). LPA met with Sarah Davis, Director of the CCC and explained the purpose and nature of the inspection. LPA, in the company of the Director toured the interior and exterior of the CCC. Eight children are present in the infant program at the time of the inspection. The CCC operates from 7:30 AM to 5:00 PM, Monday thru Friday. The CCC is a combined center with a preschool program. LPA reviewed the CCC's Center sign-in/sign-out sheet and observed the documentation to be appropriate. A sampling of children and staff records were reviewed. Teachers have required qualifications. Teachers present have current First Aid/CPR certificates which expires on January 20, 2021. Teachers present have current AB 1207 Mandated Reporter Training certificates which expires on February 2, 2021. LPA verified Immunization and Tuberculosis requirements. Required licensing forms and documents are posted in the infant room. The ratio of staff (four) supervising the infants was appropriate. The classroom has age appropriate toys and furnishings as well as a changing table with a sink readily available. The classroom also has a carbon monoxide detector which was tested and found to be operable. LPA observed three cribs available for infant use. The CCC uses mats for older infants which do not use the cribs. Food and milk is stored in a refrigerator which is located in the CCC's secure kitchen. LPA reviewed a sampling of Individual Needs & Services plans. LPA also reviewed a sampling of feeding plans. Children bottles and food are properly labeled with the child's name and date. LPA did not observe any toxins/hazardous items accessible to children. Director informed LPA the CCC does not have firearms or ammunition on site. Further, no bodies of water were observed. CONT.809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

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 2

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: TRUST CHILDREN'S CENTER	FACILITY NUMBER: 406215156
	VISIT DATE: 02/05/2020

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
26
27
28
29
30
31
32

Incidental Medical Services (IMS) policy was discussed. 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: http://www.ada.gov/childqanda.htm

The LPA discussed a guide for Safe Sleep and the Effects of Lead Exposure with the Director. Director informed LPA the CCC is providing literature to the parents of children in care.

No deficiencies were cited during today's visit.
LPA observed licensee post the Notice of Site visit.

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

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2