406215771-6-1-2022-17-CC-EBAY-CCBRKE-20220308120526

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215771
Report Date: 03/08/2022
Date Signed: 06/01/2022 03:05:47 PM

Document Has Been Signed on 06/01/2022 03:05 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:	CAPSLO - SLO EARLY EDUCATION & CHILD CARE		FACILITY NUMBER:	406215771
ADMINISTRATOR:	A. RAMIREZ-BARRON		FACILITY TYPE:	850
ADDRESS:	981 MARSH STREET		TELEPHONE:	(805) 544-4355
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93401
CAPACITY:	30	CENSUS:	DATE:	03/08/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Cassandra Concha Rincon		TIME COMPLETED:	12:00 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 3/8/22, at 9:30 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required Inspection of the abovementioned Child Care Center (CCC). The LPA met with Cassandra Concha Rincon, Site Supervisor of the CCC and explained the purpose of the inspection. LPA, in the company of the Site Supervisor toured the interior and exterior of the CCC. The CCC is on the grounds of First Presbyterian Church of San Luis Obispo and the CCC utilizes two rooms along with an enclosed outdoor play area. The CCC operates from 7:30 AM -4:30 PM, Monday - Friday. At the time of the inspection, five children are present, along with two teachers proving care and supervision. The CCC is clean, organized and orderly. LPA observed age appropriate toys and furnishings throughout the CCC. LPA also observed a carbon monoxide detector which was tested at 11:05 AM and found to be operable. The CCC's bathroom is in safe and sanitary operating condition. The CCC has an operable refrigerator in the CCC's office which contain food items for children. Additionally, the CCC has a refrigerator in the church kitchen which is shared. LPA notes the CCC provides snacks and lunches for children in care. Water is provided for children in care inside of the facility and outside of the facility. LPA observed a facility menu posted on the CCC's wall. Disinfectants, cleaning solutions and shapes are secured in a locked cabinet in the diaper room. Medication in the facility is stored in the CCC's office which is inaccessible to children. LPA observed licensing required notices on the wall of the CCC. LPA observed Sign In/Out forms upon arrival notes the forms contain the child's arrival and departure as well as the signature of the authorized representative/parent. The CCC's outdoor play area is enclosed black wrought iron fencing. Entry/exit gates are secured. LPA observed a shed in the play area which were secure by lock and contained CCC supplies. LPA observed age appropriate toys/play equipment in the play areas. The toys/play equipment are free of sharp, loose or pointed objects. No bodies of water were observed on site. Play structure have adequate cushion to absorb for falls and shade in the area is created by overhead umbrellas.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2022

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: CAPSLO - SLO EARLY EDUCATION & CHILD CARE	FACILITY NUMBER: 406215771
	VISIT DATE: 03/08/2022

NARRATIVE

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Staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information. Staff records were reviewed and contained pediatric CPR and First Aid certifications as well as Mandated Report certifications. Site Supervisor notes no firearms/weapons or ammunition was stored on the premises.

Incidental Medical Services (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

Facility representative was reminded that all adults 18 and over, 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 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.

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 Cassandra Concha Rincon.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2022

LIC809 (FAS) - (06/04)

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