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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215728
Report Date: 02/24/2020
Date Signed: 02/24/2020 03:59:04 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 SPROUTS DAY CARE, INC.FACILITY NUMBER:
406215728
ADMINISTRATOR:MARY KATHERINE GILBERTFACILITY TYPE:
830
ADDRESS:1603 SYDNEY STREETTELEPHONE:
(415) 302-3163
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY:40CENSUS: 26DATE:
02/24/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Mary GilbertTIME COMPLETED:
03:50 PM
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On February 24, 2020, at 01:50 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted a unannounced Required Annual inspection of the abovementioned Child Care Center (CCC). LPA met with Mary Gilbert, Licensee of the CCC and explained the purpose of the inspection. LPA, in the company of the Director, toured the interior and exterior of the CCC. The CCC operates from 7:30 AM to 5:30 PM, Monday thur Friday. The CCC is a combination infant center with a toddler option.

Licensing required documents and forms were posted on the wall of the CCC's infant play room. The CCC uses three classrooms (two infant and one toddler). A fixed shelving unit serves as a partition between the toddler and infant classroom. LPA observed sixteen cribs available for use. The CCC uses mats for older toddlers that do not use the cribs. Liquids and food are stored in a refrigerator in the CCC's kitchen. Bottles and food are labeled with child's name and date. LPA reviewed Individual needs, service and feeding plans. The CCC was free of toxins/hazardous items. The Director informed the LPA no firearms or ammunition is stored on site.

CCC uses an electronic sign-in/sign-out system (Bright Wheel). Parents of children in care access the system mobilly. LPA reviewed the records of children and staff. Teachers have required qualifications. Teachers present have current Pediatric First Aid/CPR certificates which expire on October 22, 2021. Teachers present have current AB 1207 Mandated Reporter Training certificates that expire on January 10, 2021. LPA verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements.LPA discussed a Guide for Safe Sleep and the Effects of Lead Exposure with the Director. The Director informed the LPA The Effects of Lead Exposure leaflet has previously been distributed to the parents of children in care.



Incidental Medical Services (IMS) policy was discussed. 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)/ CONT. 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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 SPROUTS DAY CARE, INC.
FACILITY NUMBER: 406215728
VISIT DATE: 02/24/2020
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(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 area evaluated, no deficiencies were cited during today's visit.

The LPA observed the Director post the Notice of Site Visit (LIC 9213).
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020
LIC809 (FAS) - (06/04)
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