406215821-7-13-2021-17-CC-EBAY-C4VRSP-20210713131703

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215821
Report Date: 07/13/2021
Date Signed: 07/13/2021 02:06:35 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:	HAND IN HAND PRESCHOOL AND INFANT CENTER		FACILITY NUMBER:	406215821
ADMINISTRATOR:	ELLA MARIE BASTSON		FACILITY TYPE:	830
ADDRESS:	3172 JOHNSON AVE		TELEPHONE:	(805) 543-8653
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93401
CAPACITY:	12	CENSUS:	DATE:	07/13/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Ella Batson		TIME COMPLETED:	12:45 PM

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On 7/13/21, at 11:20 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted a unannounced Required Annual inspection of the abovementioned Child Care Center (CCC). LPA met with Ella Batson, Director 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 preschool infant center. There are five infant present during the time of the inspection along with two teachers providing supervision.

The CCC uses two room (activity and sleep room) for child care services. The CCC was free of toxins and hazardous items. LPA observed six cribs available for use as well as age appropriate toys and furnishings in the CCC. LPA observed licensing required documents and forms posted on the wall of the CCC's main play room. Liquids and food are stored in a refrigerator in the CCC's kitchen and room refrigerator. Bottles and food are labeled with child's name and date.

The outdoor activity area contains age appropriate toys and equipment. The area has ample shade in the form of the building covering. Director informed LPA additional shade covering can be provided in the form of patio umbrellas if need be. The area is enclosed by chain linked fencing and has foam cushioning at the base of the play structures.

LPA reviewed Individual needs, service and feeding plans. LPA also reviewed sleep logs and plans which are current. LPA reviewed staff records. Teachers have required qualifications. Teachers present have current Pediatric First Aid/CPR certificates. Teachers present also have current AB 1207 Mandated Reporter Training certificates. LPA verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements.

The Director informed the LPA no firearms or ammunition is stored on site. Further, LPA observed no bodies of water on site.

LPA reviewed CCC sign-in/sign-out forms which were completed correctly. LPA observed a carbon monoxide

(CONT.809-C)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2021

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: HAND IN HAND PRESCHOOL AND INFANT CENTER	FACILITY NUMBER: 406215821
	VISIT DATE: 07/13/2021

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detector in the CCC which was tested and found to be operable.

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 Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2021

LIC809 (FAS) - (06/04)

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