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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215728
Report Date: 09/23/2021
Date Signed: 09/23/2021 03:19:02 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:
(805) 439-2276
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY:40CENSUS: 24DATE:
09/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Mary GilbertTIME COMPLETED:
03:15 PM
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On 9/23/21, at 1:30 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. LPA observed 24 children on site with six teachers (cleared and associated) providing care and supervision.

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 book shelving unit serves as a partition between the toddler and infant classroom. LPA observed twenty cribs available for use. CCC uses cots for older children with advance levels of mobility. Changing tables are observed on site in arm's length of sinks. LPA observed operable refrigerators in the CCC's staff room. LPA observed labeled liquids and food stored in the refrigerators.

CCC uses an electronic sign-in/sign-out system (Bright Wheel). Parents of children in care access the system remotely. LPA reviewed the records of children and staff. Staff members present have current Pediatric First Aid/CPR certificates (ESMA approved) as well as current Mandated Reporter training certificates. LPA observed current immunizations and emergency contact information for children in care. Further, LPA reviewed Individual needs, service and feeding plans as well as documentation noting children's sleep logged in intervals of 15 minutes.



The CCC outdoor play area is enclosed by a combination of wooden, cider block and wroth iron fencing. Entry/exit gates are secure. The footing in the area is comprised of artificial grass, sand play areas and a concrete walkway. Toys and equipment in the area are age appropriate. LPA observe ample shade in the area (i.e. shade covering and trees). No bodies of water are observed on site.
(809-C)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
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: 09/23/2021
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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)/(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. Director was reminded that it is 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: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
LIC809 (FAS) - (06/04)
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