406215289-6-6-2023-17-CC-DMWT-CSJRND-20230606131007

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215289
Report Date: 06/06/2023
Date Signed: 06/06/2023 01:10:22 PM

Document Has Been Signed on 06/06/2023 01:10 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
CENTRAL COAST-CHILD, 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: 4	DATE:	06/06/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Evelyn Choto		TIME COMPLETED:	10:15 AM

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 06/06/2023 Licensing Program Analysts (LPAs) Dixie Wright and Elvin Baddley conducted an unannounced Required inspection on the Child Care Center (CCC). The LPAs met with Evelyn Choto, Director of the CCC and explained the purpose of the inspection. LPAs, toured the facility in the company of the Director toured the interior and exterior. This is a combination center with an infant, preschool and school-age program. At the time of the inspection, there were four infant children present. The CCC has one (1) infant classroom. Director stated that infant care is provided Monday through Friday, 7:30AM-5:30 PM. The infant classroom has proper ventilation to afford for child care. The infant classroom was clean and orderly during inspection. LPAs observed age appropriate toys and furnishings throughout the infant classroom. The Carbon Monoxide detector was tested at 10:12 am and found to be operational during the time of the inspection. LPAs observed three cribs and two sleep mats. There was also a changing table in the infant classroom. The CCC has an operable refrigerator. The Center provides snacks, the children in care bring their own food for lunch. Milk is stored in a refrigerator located in the infant classroom. . Children bottles and food were properly labeled with child's name and date. Disinfectants and cleaning solutions are stored on top of the refrigerator, not accessible to children. CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Dixie Marie Wright	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023

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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ADVENTURE KIDS	FACILITY NUMBER: 406215289
	VISIT DATE: 06/06/2023

NARRATIVE

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LPAs observed all licenses and required postings in a prominent, visible area in the infant classroom. LPAs observed a Sign In/Out form, that was up to date, near the CCC's entry.

LPAs observed age appropriate toys/play equipment in the play area for infants. No potential hazards were observed in the infant play area. All gates were latched separating the infant play area from the pre-school area. No hazards were observed in the area. No bodies of water were observed on site. The Director stated there are no firearms/weapons or ammunition that are stored on the premises. Facility has been tested for lead contaminants levels.

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. All children's immunization cards were found in files and current. Staff files were reviewed; Director and staff's AB107 expires 05/13/2024 and First Aid/CPR expires 07/29/2023. All proof of immunization were in file. All required documents were in place.

CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Dixie Marie Wright	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023

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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ADVENTURE KIDS	FACILITY NUMBER: 406215289
	VISIT DATE: 06/06/2023

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

LPA discussed safe sleep regulations. 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.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

There are no deficiencies being cited during this inspection.
Exit interview conducted with Director Evelyn Choto.

Notice of Site visit was given (LIC 9213) which must be posted for 30 days.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Dixie Marie Wright	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023

LIC809 (FAS) - (06/04)

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