406215606-12-3-2024-17-CC-MSAN-DBM2CG-20241203161642

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215606
Report Date: 12/03/2024
Date Signed: 12/03/2024 04:17:01 PM

Document Has Been Signed on 12/03/2024 04:17 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	LITTLE WINGS OF ATASCADERO		FACILITY NUMBER:	406215606
ADMINISTRATOR/ DIRECTOR:	DANI WASJUTIN		FACILITY TYPE:	850
ADDRESS:	6895 MORRO ROAD		TELEPHONE:	(805) 252-8724
CITY:	ATASCADERO	STATE: CA	ZIP CODE:	93422
CAPACITY: 50	TOTAL ENROLLED CHILDREN: 50	CENSUS: 23	DATE:	12/03/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:00 PM
MET WITH:	Dani Wasjutin		TIME VISIT/ INSPECTION COMPLETED:	04:30 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 12/3/24, at 1:05 PM, Licensing Program Analysts (LPAs) Elvin Baddley and Matthew Sapien conducted an unannounced Annual Random Inspection the abovementioned Child Care Center (CCC). LPA met with Dani Wasjutin, Director of the CCC, and explained the nature and purpose of the inspection. LPAs, in the company of the Director, toured the interior and exterior of the CCC. The CCC utilizes three classrooms (caterpillar room which is ages 2-3, dragonfly room which is ages 3-4, and butterfly room which is ages 3-5), three outdoor play areas, and 4 restrooms. The CCC's hours of operation are 8:00 AM until 4:30 PM Monday through Friday. During the inspection, LPAs observed 23 children in care along with 5 additional staff members (cleared and associated). The classrooms of the CCC are clean and orderly. The classrooms have age appropriate toys, books, and other furnishings for children in care. The Dragonfly room has an operational refrigerator which contains food items for the CCC's children. The CCC provides morning and afternoon snacks for children in care, while lunches are brought from home. There is available drinking water for children throughout the CCC in the Dragonfly classroom via the refrigerator, a water dispenser, and from the sink. Children bring reusable water bottles from their respective homes. CCCs constructed before 1/1/20, to test their water (used for drinking and food preparation) for lead contamination before 1/1/23, and then every 5-years except after the date of the first test. For child care center licenses issued after 7/1/22, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPAs verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. LPAs observed snack menus and required notices and other relevant documents posted prominently throughout the entry and caterpillar classroom. LPAs also reviewed the children's sign in/sign out forms and (CONT. LIC 802-C)

Maria Mueller	TELEPHONE: (805) 562-0400
Matthew Sapien	TELEPHONE: (805) 562-0400
	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LITTLE WINGS OF ATASCADERO	FACILITY NUMBER: 406215606
	VISIT DATE: 12/03/2024

NARRATIVE

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found the arrival times of children, along with the departure times. The signatures of authorized representatives were also present.

LPAs observed a carbon monoxide detector at the entry of the CCC, which was tested at 1:58 PM, and was found to be operable. Cleaning compounds and sharps are stored in elevated cabinets in the Dragonfly room of the CCC. Medication is stored in an elevated cabinet at the entry way of the CCC. The CCC's kitchen area also has additional sharps, cleaning compounds, and a First Aid kit that contains gloves, band-aids, and other appropriate supplies.

Two restrooms are located in the front building portion of the CCC, while there are two restrooms in the rear building (Dragonfly and Butterfly rooms).

The outdoor playground areas are enclosed by wooden fencing throughout. The fence’s entry/exit gates are secure and furnishings in the area are age appropriate. The play structures in the outdoor play areas have adequate cushioning material (compacted sand) to absorb falls. The footing of the exterior is varied (turf, stone pavement, and small rocks). Shade is provided by various trees and shade canopies throughout.

A sampling of staff and children records were reviewed. The children’s records were complete and were found to contain emergency contact information as well admission agreements, among other relevant licensing documents and forms. Staff records were reviewed and contained current pediatric CPR and First Aid certifications (EMSA approved). Facility records show the last fire drill on site occurred on 12/3/24. LPAs confirmed that there are no firearms or ammunition are stored on site.

This facility does currently provide Incidental Medical Services – IMS. LPAs reviewed storage of medication supplies. LPAs also reviewed children’s, personnel, and administrative records in relation to IMS services. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility representative was reminded that all adults 18 and over, including employees and volunteers,
as specified in HSC section 1596.871, must obtain a criminal record clearance or exemption, or transfer their (CONT. 809-C, Page 3)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR NAME: Matthew Sapien	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LITTLE WINGS OF ATASCADERO	FACILITY NUMBER: 406215606
	VISIT DATE: 12/03/2024

NARRATIVE

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existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address
provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

During today's visit, 1 Type B Deficiency was cited based on LPA interview and record review pursuant to Title 22 of the CA Code of Regulations and Health and Safety Codes (see LIC809 D). Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

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, Dani Wasjutin.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR NAME: Matthew Sapien	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/03/2024 04:17 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LITTLE WINGS OF ATASCADERO	FACILITY NUMBER: 406215606
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/03/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training ...and shall complete renewal mandated reporter training every two years ...Based on interview and record review, the Director did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/17/2024
	Plan of Correction
1 2 3 4	Director will submit a current Mandated Reporter Training certificate to CCLD via email (matthew.sapien@dss.ca.gov) or text message (805-635-4725) to Matthew Sapien by the close of business day (5:00 PM) on 12/17/24.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Maria Mueller	TELEPHONE: (805) 562-0400
Matthew Sapien	TELEPHONE: (805) 562-0400
	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

LIC809 (FAS) - (06/04)

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