421700402-3-9-2023-17-CC-MBRT-CPRQFY-20230309110843

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 421700402
Report Date: 03/09/2023
Date Signed: 03/09/2023 11:08:50 AM

Document Has Been Signed on 03/09/2023 11:08 AM - 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:	TRINITY BAPTIST PRESCHOOL		FACILITY NUMBER:	421700402
ADMINISTRATOR:	ARIANNA PACHECO		FACILITY TYPE:	850
ADDRESS:	1002 CIENEGUITAS ROAD		TELEPHONE:	(805) 687-4988
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93110
CAPACITY:	84	CENSUS: 60	DATE:	03/09/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:22 AM
MET WITH:	Arianna Pacheco		TIME COMPLETED:	11:17 AM

NARRATIVE

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On March 9^th, 2023, at 8:24AM, Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced Annual/Random inspection. LPA met with facility director Arianna Pacheco and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. The center operates Monday through Friday 7:30AM – 5:00PM. There were sixty (60) children in care at the time of the inspection, and eleven (11) teachers.

LPA observed required licensing documents mounted on the wall at the entrance of the facility. Facility uses an electronic format for sign in and out purposes. The facility is currently utilizing six (6) rooms for care and supervision. Each of the classrooms have age-appropriate toys and furniture, maintained in good condition, readily accessible for children in care, and classrooms have ample ventilation. Facility provides a variety of daily activities designed to meet the needs of children including but not limited to quiet and active play, and rest and relaxation. LPA observed all cleaning compounds, disinfectants, sharps, and tools to be elevated and inaccessible to children. Facility utilizes ample toilets, urinals, and sinks for children’s use. Facility uses cots for napping with child’s individual bedding stored separately. Children bring their own water bottles and snacks, and facility offers filter water.

The outdoor area has an ample amount of space for children to play with appropriate toys, shaded area, and perimeter fencing. Outdoor area is free of debris or broken glass that would potentially cause hard to children. There are no bodies of water present, and director stated no firearms or ammunition are present on campus.

Incident Medical Services are being provided. LPA observed one medical box, heightened and inaccessible to children, containing child’s medication with unaltered label, and not expired.

CONTINUED ON LIC809C

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose Breault	TELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

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: TRINITY BAPTIST PRESCHOOL	FACILITY NUMBER: 421700402
	VISIT DATE: 03/09/2023

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A sampling of children and staff records were reviewed. LPA observed children's files to be complete and current. LPA observed staff files to be complete and current. LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements. Teachers meet the required qualifications.Teachers present have current Pediatric CPR/First-Aid certificates that are valid until 8/4/2024. Teachers present have current Mandated Reporter certificates that are valid until 8/2023.

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 follow 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

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

No deficiencies were cited during today’s inspection.

Technical assistance was provided.

Exit interview conducted and report was reviewed with the Director

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: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose Breault	TELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

LIC809 (FAS) - (06/04)

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