421702506-12-30-2021-17-CC-MJIZ-CA7R79-20211230114557

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 421702506
Report Date: 12/30/2021
Date Signed: 12/30/2021 11:46:07 AM

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:	CAC - MAGGIE ESPINOZA CENTER		FACILITY NUMBER:	421702506
ADMINISTRATOR:	ELVA QUINTANILLA		FACILITY TYPE:	850
ADDRESS:	120 TOGNAZZINI STREET		TELEPHONE:	(805) 343-1695
CITY:	GUADALUPE	STATE: CA	ZIP CODE:	93434
CAPACITY:	24	CENSUS: 0	DATE:	12/30/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:28 AM
MET WITH:	Gabriela Landeros		TIME COMPLETED:	12:05 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	Due to COVID-19 pandemic, LPA asked the pre-screening questions prior to inspection. Site Supervisor's responses indicate there was no COVID-19 exposure on site. On December 30, 2021, at 10:28 A.M., Licensing Program Analyst (LPA) Martina Jimenez conducted an announced Case Management - Licensee initiated inspection. LPA Jimenez met with Gabriela Landeros, Site Supervisor. LPA discussed the nature and purpose of the inspection and together the inside and outside of the center was toured. LPA observed age appropriate toys, games, tables, chairs, napping equipment, and cubbies. There is a restroom with two toilet, one changing table, and 1 sink readily available for the children. The toddler and preschool children each have a separate fenced play areas ensuring no commingling during outdoor recreation. The facility currently has two preschool classrooms ( Classroom A & Classroom B). The facility has initiated a request for change of capacity to convert one classroom (EHS- classroom) into toddler option classroom. A fire clearance inspection was conducted by the Guadalupe County Fire Department on 12/03/2021, which allows for the a total capacity of 25 children. The toddler option classrooms capacity will be 8 children, while the preschool will have a capacity of 17 children. Continued on 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2021

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: CAC - MAGGIE ESPINOZA CENTER	FACILITY NUMBER: 421702506
	VISIT DATE: 12/30/2021

NARRATIVE

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The toddler classroom had the following measurements:

Indoor space: Length 415 x Width 232 = 647 sqft
Outdoor space: Length 1049 x Width 463 = 1512 sqft

The classroom measured approximately 647 sqft / 35 = 18 children

There are 2 toilets = 30 children
There are 1 sinks = 15 children
There are 1 changing tables = 15 children

A fire clearance inspection was approved by the Guadalupe County Fire Department on 12/03/2021. The center meets Title 22 Division 12 requirements.

License will be effective today, December 30, 2021 for 17 preschool and 8 toddler children. Increasing the facility capacity to 25.

A copy of this report was reviewed and provided to 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: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2021

LIC809 (FAS) - (06/04)

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