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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421703040
Report Date: 10/16/2019
Date Signed: 10/16/2019 12:29:23 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:MONTECITO BRANCH - MONTECITO YMCA PRESCHOOLFACILITY NUMBER:
421703040
ADMINISTRATOR:ANNIE R. FISCHERFACILITY TYPE:
850
ADDRESS:591 SANTA ROSA LNTELEPHONE:
(805) 969-3288
CITY:SANTA BARBARASTATE: CAZIP CODE:
93108
CAPACITY:36CENSUS: 28DATE:
10/16/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Annie FischerTIME COMPLETED:
12:30 PM
NARRATIVE
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An annual review was conducted by Licensing Program Analysts (LPAs) S. Mendoza-Ceja and C. Patterson who met with Annie Fisher. The center was toured inside and outside. The preschool operates Monday – Friday. LPAs inspected the medication box which is inaccessible to children. LPAs were advised there were no medications being administered at this time. The classrooms were observed to be clean and orderly.
The appropriate documents including the menu was posted for review. LPAs reviewed the handout “A Child Care Provider’s Guide to Safe Sleep, Safe Sleep in Child Care, and Effects of Lead Exposure". The outside playground equipment was observed to be well maintained and age appropriate. A random review was conducted of children's records. Staff records were reviewed. LPA reviewed current CPR and First Aid for two staff. LPA reviewed the requirement for care providers/employees, including volunteers to obtain immunization against Influenza, Pertussis, and Measles. LPA reviewed verification of immunization for staff.
Also reviewed was the requirement to obtain AB1207 Child Abuse Mandated Reporter Training.

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

The following Type B deficiency is cited on page 2 in regards to AB 1207 Child Abuse Mandated Reporter Training. Appeal Rights were reviewed.

The Notice of Site Visit was posted at the visit.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
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: MONTECITO BRANCH - MONTECITO YMCA PRESCHOOL
FACILITY NUMBER: 421703040
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/16/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/30/2019
Section Cited

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Health and Safety - Child Abuse Mandated Reporter Training: On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a),
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and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
--This requirement was not met as evidenced by the record review and interview which revealed 3 staff have not completed the training which poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:
DATE: 10/16/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/16/2019
LIC809 (FAS) - (06/04)
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