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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215513
Report Date: 08/25/2021
Date Signed: 08/25/2021 03:52:58 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:SAN LUIS OBISPO CLASSICAL ACADEMYFACILITY NUMBER:
406215513
ADMINISTRATOR:MERIDETH EADESFACILITY TYPE:
830
ADDRESS:165 GRAND AVENUETELEPHONE:
(805) 548-8700
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY:24CENSUS: 12DATE:
08/25/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Merideth Eades and Mollie BrysonTIME COMPLETED:
02:45 PM
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On 8/25//21, at 1:30 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection the abovementioned Child Care Center (CCC). LPA met with Director Merideth Eades and Assistant Director Mollie Bryson and explained the purpose of the inspection. LPA, in the company of Director and Assistant Director, toured the interior and exterior of the CCC. The CCC operates from 8:00 AM to 5:00 PM, Monday - Friday. The infant program has a toddler option and uses two classrooms (infant Room and Toddler Room) for child care. LPA observed 14 children (five infants and nine toddlers) on site during the inspection along with 6 teachers (cleared and associated).

LPA observed the CCC to be clean and organized. The classrooms possess age appropriate toys and furnishings for children of the given age ranges. LPA observed operable carbon monoxide detectors in each classroom. LPA notes the abovementioned was not checked while on site as a number of infants were in the process of sleeping. LPA also observed a changing table in proximity of the sink in the rooms and bathrooms in safe and sanitary operating condition. Operable refrigerators are observed on site in each classroom with refrigerated food items which are labeled. The parents of children in care provide children with snacks and lunches. CCC staff ensure lunches and snacks from home contain items from the essential food groups. Children also have the ability to access water inside and outside of the classroom.

LPA observed disinfectants, cleaning solutions, medications and sharps stored on elevated shelves in classroom cabinets which are beyond the reach of children in care.

The program's outdoor play areas are attached to each classroom. The play yards fences' entry/exit gates are secured. LPA observed age appropriate toys and play equipment in the play areas. LPA observed the toys and play equipment in the play area to be in suitable condition and free of sharp, loose or pointed objects. The Director and Assistant Director were reminded to remove toy and play equipment from the play area when the aforementioned becomes inappropriate for use. The play structures in the areas have adequate cushioning to absorb falls. The outdoor area has shade created by shade covers and building overhangs.

(CONT.809-C)

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

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
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: SAN LUIS OBISPO CLASSICAL ACADEMY
FACILITY NUMBER: 406215513
VISIT DATE: 08/25/2021
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LPA observed waste receptacles with tight fitting covers on site. Further, LPA observed no bodies of water on site.

LPA observed licensing required notices and documents posted predominately on the walls in each classroom. The CCC utilizes an electronic sign In/out. LPA reviewed the aforementioned and found sign in/sign out appropriate.

A sampling of staff and children's records are reviewed. The children’s records were complete and found to contain emergency contact information as well as immunizations. LPA also reviewed documentation capturing children sleep in 15 minute intervals .LPA also observed Needs and Services Plans for children in care as well as Sleep Plans completed for children ages 0-12 months. Staff records were reviewed and contained current pediatric First Aid/CPR certifications as well as certifications for Mandated Reporter. Director informed LPA no firearm or ammunition is 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 and Assistant Director. Director and Assistant Director are reminded that it is Director and Assistant 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: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
LIC809 (FAS) - (06/04)
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