406215266-7-9-2021-17-CC-EBAY-C4RRCY-20210709125507

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215266
Report Date: 07/09/2021
Date Signed: 07/09/2021 12:55:24 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:	COUNTRY COTTAGE PRESCHOOL		FACILITY NUMBER:	406215266
ADMINISTRATOR:	BRIANNA MALLORY		FACILITY TYPE:	850
ADDRESS:	2075 JOHNSON AVENUE		TELEPHONE:	(805) 235-2153
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93401
CAPACITY:	50	CENSUS: 39	DATE:	07/09/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Brianna Ash		TIME COMPLETED:	01:00 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 7/9/21, at 10:30 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection of the abovementioned Child Care Center (CCC). The LPA met with Brianna Ash, Director of the CCC and explained the purpose of the inspection. The LPA, in the company of Director, toured the interior and exterior of the CCC. The center operates from 7:45 AM to 5:30 PM, Monday - Friday. The preschool uses two classrooms (2/3 classroom and 4/5 classroom) for care and had a population of 39 children in care at the time of the inspection, with six teachers. The classrooms of the CCC were clean and organized. The classrooms had age appropriate toys and furnishings available for children. Each classroom had operable carbon monoxide detectors which were tested at 11:30 AM. The bathroom is in safe and sanitary operating condition. The attached kitchen was observed to be clean and free of litter. Food and beverages capable of spoiling were stored in an operable refrigerator. Disinfectants and cleaning solutions are observed on elevated shelves in each classroom beyond the reach of children. Likewise, the center’s medications is secured in the Director's office. The center provides morning and afternoon snacks for the children. Children bring lunch from home. The LPA reviewed posted menus. LPA observed licensing required notices posted predominately posted at the entry of the CCC as well as Sign In/Out form which were completed appropriately. The center’s outdoor playground areas in enclosed by a chain linked fence. The fence’s entry/exit gates are secured. The LPA observed age appropriate toys/play equipment in the play area. The toys/play equipment are in suitable condition and free of sharp, loose or pointed objects. The play structures in the playground areas have adequate cushioning materials (i.e. wood chips) to absorb falls and shade in the form of tress shade covering created by the building structures. No bodies of water were observed on site. There is available drinking water for children both inside the classroom and outside in the play area. Waste receptacles with tight fitting covers were observed throughout the center. (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: 07/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2021

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: COUNTRY COTTAGE PRESCHOOL	FACILITY NUMBER: 406215266
	VISIT DATE: 07/09/2021

NARRATIVE

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A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information. Staff records were reviewed and contained documentation to support their educational training and experience. The Center Director noted no firearms/weapons or ammunition was stored on the premises.

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 Family Child Care Homes Section 102417. 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 was reminded that it is Directors 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 Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2021

LIC809 (FAS) - (06/04)

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