406215513-7-28-2022-17-CC-EBAY-CGRSZU-20220728141942

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215513
Report Date: 07/28/2022
Date Signed: 07/28/2022 02:19:48 PM

Document Has Been Signed on 07/28/2022 02:19 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	SAN LUIS OBISPO CLASSICAL ACADEMY		FACILITY NUMBER:	406215513
ADMINISTRATOR:	MERIDETH EADES		FACILITY TYPE:	830
ADDRESS:	165 GRAND AVENUE		TELEPHONE:	(805) 548-8700
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93405
CAPACITY:	24	CENSUS: 13	DATE:	07/28/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:31 PM
MET WITH:	Merideth Eades		TIME COMPLETED:	02:30 PM

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On 7/28/22, at 12:31 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 explained the purpose of the inspection. LPA, in the company of Director, toured the interior and exterior of the CCC. The CCC operates from 8:00 AM to 5:00 PM, Monday - Friday. The CCC is a combination preschool with an infant program and uses three classrooms for child care.The facility does have a designated toddler component. LPA observed 13 children on site during the inspection along with six teachers (cleared and associated) providing care and supervision.

LPA observed the CCC to be clean and organized. The classrooms possessed age appropriate toys and furnishings for children in care. LPA observed operable carbon monoxide detectors in each classroom. At 10;30 AM a detector in the infant room was tested and found to be operable. LPA also observed the restroom attached to each classroom to be in safe and sanitary operating condition. Operable refrigerators are observed on site in each classroom. The refrigerators have the children's food labeled and dated. 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 and are void of junk food. Children also have the ability to access filtered water inside and outside of the classroom. Director has been reminded of the need to test the facility's water source for possible lead containments. LPA observed disinfectants, cleaning solutions, medications and sharps stored on elevated locations in the classroom which are inaccessible and beyond the reach of children. The CCC has cribs and napping mats for all of the children in care. Cribs have tight fitting sheets are are free of loose items.

LPA observed licensing required notices and documents posted predominately on the walls in each classroom near the entry door. The CCC utilizes an electronic sign In/out. LPA reviewed the aforementioned and found sign in/sign out to contain the authorized representatives and times the children enter and depart

(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: 07/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022

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: 07/28/2022

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the CCC.

The CCC outdoor play areas are attached to each classroom. The play yards 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 was reminded to remove toys and play equipment from the play area when the aforementioned begins to degrade and is not in good repair. The play structures in the areas have adequate cushioning material and shade in the area created by building overhangs and shade covers. LPA observed no bodies of water on site.

Staff and children's records are reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records. 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 was reminded to ensure training certification are current and updated prior to expiration. Director informed LPA no firearm or ammunition is stored on the premises.

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 the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an for additional resource. LPA also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Facility representative were reminded that all adults 18 and over, including employees and volunteers, must

(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: 07/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022

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: 07/28/2022

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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.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility representative Merideth Eades.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022

LIC809 (FAS) - (06/04)

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