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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215728
Report Date: 12/01/2022
Date Signed: 12/01/2022 12:15:59 PM


Document Has Been Signed on 12/01/2022 12:15 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: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: 33DATE:
12/01/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Mary GilbertTIME COMPLETED:
12:30 PM
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On 12/1/22, at 8:45 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted a unannounced One Year Required Annual inspection of the abovementioned Child Care Center (CCC). LPA met with Mary Gilbert, Licensee/Director of the CCC, herein Director. LPA 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 33 children on site with nine teachers (cleared and associated) providing care and supervision.

Licensing required documents and notices are posted on the wall of the CCC's infant play room near the entry. 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 also uses cots for older children with levels of varied mobility. Changing tables are observed throughout the site in arm's length of sinks. LPA observed an operable refrigerator in the CCC's staff room. The refrigerator contains labeled liquids and food for children in care. LPA also observed carbon monoxide detectors through the CCC. A carbon monoxide detector in the toddler room was tested at 9:36 AM and found to be operable. The CCC uses an electronic sign-in/sign-out system. The system contains the arrival and departure times of children in care. Parents of children in care have access to the system remotely. Medication and cleaning compounds at the CCC are stored in the CCC's kitchen which is inaccessible to children in care.

Children in care bring lunches form home. The CCC provides snacks. Bottled water is provided to children in care and the CCC does not use on site water sources for consumption or the washing of foods, LPA reminded Director of the need to have the CCC's water sources tested for lead containments.

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 varied. Toys and equipment in the area are age appropriate. LPA reminds Director to remove toys and play equipment in the outdoor area which begins to degrade or is is not in good repair. LPA observe ample shade in the area (i.e. shade covering and trees). The water is observed on (CONT LIC 809-C)

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 12/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/01/2022
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: LITTLE SPROUTS DAY CARE, INC.
FACILITY NUMBER: 406215728
VISIT DATE: 12/01/2022
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outdoor play area is partitioned to created play areas for the toddlers and infant populations. No bodies of site. LPA observed chickens and rabbits in the outdoor area which are contained to cages. Director informed LPA children in care sometime feed the rabbits.

LPA reviewed the records of children and staff. Staff members have current Pediatric First Aid/CPR certificates (ESMA approved) as well as current Mandated Reporter training certificates. LPA observed current immunization records and emergency contact information for children in care. Further, LPA reviewed Individual needs, service and feeding plans as well as electronic system entries noting children's sleep logged in intervals of 15 minutes.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing 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

Facility Representative was reminded that all adults 18 years of age working in the CCC including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed 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.

LPA discussed the safe sleep regulations with Facility Representative 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 or additional resource. LPA also informed Facility Representative 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.

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 Mary Gilbert.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2022
LIC809 (FAS) - (06/04)
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