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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215606
Report Date: 02/12/2020
Date Signed: 02/12/2020 06:52:45 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:LITTLE WINGS OF ATASCADEROFACILITY NUMBER:
406215606
ADMINISTRATOR:DANI WASJUTINFACILITY TYPE:
850
ADDRESS:6895 MORRO ROADTELEPHONE:
(805) 252-8724
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY:15CENSUS: 15DATE:
02/12/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Dani WasjutinTIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Annual/Random and Change in Capacity Inspections. LPA met with Director Dani Wasjutin. The purpose of the visit was discussed. There were 15 preschool children 5 teachers present. The center was toured and measured inside and out. There were nobodies of water observed. Director stated there are no guns nor ammunition in the Center.
During the tour, following were observed:
  • Classrooms are equipped with age and size appropriate furniture and equipment.
  • Personal water bottle provides the drinking water in the indoor space and out door activity area
  • Playground is enclosed with an appropriate fence
  • Carbon monoxide was tested and found functional.
  • Menus and required licensing forms are posted in the prominent location.
  • Required Licensing forms are posted in a prominent location
  • First Aid kit is found complete.
  • Bathrooms were observed clean and free of toxins.

A review of staff records and children's records were conducted. CPR and
First Aid expires on 1/11/2022. Review of staff records indicates that all staff have criminal record clearance. Director and staff have met the SB 792 requirements. Continued on 809 C

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020
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: LITTLE WINGS OF ATASCADERO
FACILITY NUMBER: 406215606
VISIT DATE: 02/12/2020
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The Center is not provideing Incidental Medical Services (IMS). 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

In the areas evaluated, no deficiencies were cited.

Fire Safety Clearance for 22 pre school children was granted on 1/15/2020.

The Center is licensed for 22 children effective today, 2/12/2020

LPA observed Director posted the Notice of Site Visit.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020
LIC809 (FAS) - (06/04)
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