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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215156
Report Date: 08/09/2021
Date Signed: 08/09/2021 03:26:50 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 CENTERFACILITY NUMBER:
406215156
ADMINISTRATOR:SARAH DAVISFACILITY TYPE:
830
ADDRESS:4085 EARTHWOOD LANETELEPHONE:
(805) 548-1286
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY:10CENSUS: 10DATE:
08/09/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:46 PM
MET WITH:Sarah DavisTIME COMPLETED:
03:30 PM
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On 8/9/21, at 1:46 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection of the abovementioned Child Care Center (CCC). LPA met with Sarah Davis, Director of the CCC and explained the purpose of the inspection. LPA, in the company of the Director toured the interior and exterior of the CCC. The CCC operates from 8:00 AM to 4:30 PM, Monday thru Friday. LPA observed ten children in care along with four teachers (associated and cleared). The CCC is a combined center with an preschool program. LPA noted 7 of 10 children were napping at the time of the inspection.

The CCC is clean and organized. Likewise, the CCC has ventilation to afford for child care. LPA observed age appropriate toys and furnishings throughout the CCC. The CCC has ample cribs along napping cots for children in care with various levels of mobility. LPA observed an operable carbon monoxide detector. The CCC has an operable refrigerator in the kitchen. The refrigerator contains the children's.food and formula. LPA observed the food and formula was labeled and dated. Additionally, the CCC provides the children in care bottled water. Disinfectants and cleaning solutions were locked in a laundry/supply room which is inaccessible to children. Likewise, the center’s medications are also secured in a locked box in the CCC's kitchen which is also inaccessible to children in care.Required licensing forms and documents are posted in the infant room. The classroom has age appropriate toys and furnishings as well as a changing table with a sink readily available.

The CCC's outdoor playground areas is enclosed by a wrought iron fencing. The fence’s entry/exit gate is secured. LPA observed age appropriate toys/play equipment in the play area which are in suitable condition. The play structures in the playground areas have adequate cushioning materials (i.e. sand) to absorb falls. LPA also observed ample shape provided by umbrellas and the buildings overhang in the play area. No bodies of water were observed on site. Waste receptacles with tight fitting covers were observed in the CCC.

A sampling of staff and children records were reviewed. The children’s records were complete and found to
(CONT.809-C)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2021
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: TRUST CHILDREN'S CENTER
FACILITY NUMBER: 406215156
VISIT DATE: 08/09/2021
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contain emergency contact information as well as medical assessments. LPA reviewed a sampling of Individual Needs/Services and Sleep plans. LPA also reviewed a sampling of sleep logs which captured sleep checks in intervals of 15 minutes. Staff records are reviewed and contained current pedantic CPR/First Aid and Mandated Reporter certifications (EMSA approved) Director noted no firearm or ammunition is stored on site.

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

LPA discussed COVID 19 guidance and best practices with the Director. Director is reminded that it is Director's responsibility to know the regulations for a CCC which can be accessed on-line at www.ccld.ca.gov



In areas evaluated, there were no deficiencies cited at this time.

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 APPLY.

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

DATE: 08/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2021
LIC809 (FAS) - (06/04)
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