406215289-7-21-2021-17-CC-FVEZ-C55UTZ-20210721155246

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215289
Report Date: 07/21/2021
Date Signed: 07/21/2021 03:52:52 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:	ADVENTURE KIDS		FACILITY NUMBER:	406215289
ADMINISTRATOR:	EVELYN CHOTO		FACILITY TYPE:	830
ADDRESS:	880 MANZANITA DR. RM. 7		TELEPHONE:	(805) 534-9446
CITY:	LOS OSOS	STATE: CA	ZIP CODE:	93402
CAPACITY:	16	CENSUS: 0	DATE:	07/21/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Evelyn Choto		TIME COMPLETED:	12:15 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 7/21/21, Licensing Program Analyst (LPA) Francisca Velazquez and Licensing Program Manager (LPM) Maria Mueller conducted an unannounced Required inspection the Child Care Center (CCC). The LPAs met with Evelyn Choto, Director of the CCC and explained the purpose of the inspection. LPA and LPM, in the company of the Director toured the interior and exterior of the CCC. The center operates from 7:30 AM to 5:00 PM, Monday - Friday. This is a combination center with infant, preschool and school-age program. At the time of the inspection, there were no infant children present. During the inspection another staff member arrived at the facility. The CCC has one (1) infant classroom. Director stated that infant care is provided Tuesday and Thursday. The infant classroom has proper ventilation to afford for child care. The infant classroom was clean and orderly during inspection. LPA advised Director to ensure all spider webs are cleaned / cleared in the windows of the infant classroom. LPA observed age appropriate toys and furnishings throughout the infant classroom. LPA observed carbon monoxide and smoke detectors in each classroom. The detectors were tested by Director and found to be operational during the time of the inspection. LPA observed cribs and changing table in the infant classroom. The CCC has an operable refrigerator. Disinfectants and cleaning solutions are stored on top of the refrigerator in the classroom. CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021

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: ADVENTURE KIDS	FACILITY NUMBER: 406215289
	VISIT DATE: 07/21/2021

NARRATIVE

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LPA observed CCC license and required notices posted in the infant classroom. LPA observed a Sign In/Out form near the CCC's entry. Director explained that there are no infants signed in as there are no enrolled infant in the CCC at the moment. LPA reminded Director that all children should be signed in if present at the facility.

LPAs observed that backyard is completely fenced. LPAs observed age appropriate toys/play equipment in the play area for infants. LPA advised Director to remove broken toys that could be hazardous to children in care. In addition, Director was asked to add locks to the gates separating the backyards. Director was advised to make sure play structures do not have spider webs prior to infant children using play materials. No bodies of water were observed on site.

The Director stated there are no firearms/weapons or ammunition that are stored on the premises.

A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information as well as medical assessments. LPA advised Director that children immunization's should be in blue paper. Staff records were reviewed. Staff #1 file did not have current CPR which expired 6/13/20. Staff #1 has current AB1207 that expires 7/25/21. Staff #2 file did not have current CPR which expired 6/13/21. Staff #2 has current AB1207 on file that expires 7/25/21. After staff file review, it was determined that there was no current CPR certified staff in the facility.

CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021

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: ADVENTURE KIDS	FACILITY NUMBER: 406215289
	VISIT DATE: 07/21/2021

NARRATIVE

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This facility does not provide Incidental Medical Services – IMS. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

LPAs discussed COVID 19 guidance and best practices.LPA discussed safe sleep regulations and provided a copy of the regulations to Director along with Individual Infant Sleep Plan LIC 9227. Director was reminded that it is Director's responsibility to know the regulations for CCC which can be accessed on-line at www.ccld.ca.gov.

There are no deficiency cited during this inspection.

Exit interview conducted with Director Evelyn Choto.

LPA observed Director post the Notice of Site visit (LIC 9213).

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021

LIC809 (FAS) - (06/04)

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