421703040-6-23-2023-17-CC-MBRT-CT3UQR-20230623154736

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 421703040
Report Date: 06/23/2023
Date Signed: 06/23/2023 03:47:40 PM

Document Has Been Signed on 06/23/2023 03:47 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:	MONTECITO BRANCH - MONTECITO YMCA PRESCHOOL		FACILITY NUMBER:	421703040
ADMINISTRATOR:	ANNIE R. FISCHER		FACILITY TYPE:	850
ADDRESS:	591 SANTA ROSA LN		TELEPHONE:	(805) 969-3288
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93108
CAPACITY:	36	CENSUS: 21	DATE:	06/23/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:41 PM
MET WITH:	Annie Fischer		TIME COMPLETED:	04:01 PM

NARRATIVE

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On June 23^rd, 2023, at 12:41PM Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced Annual/Random inspection. LPA met with director Annie Fischer 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 8:00am – 4:30pm. This center is located on the grounds of the Montecito YMCA. At the time of the inspection there were twenty-one (21) children and three (3) staff present, not including director.

LPA observed required licensing documents mounted on the wall at the entrance of the center. Parents use the app EPact for the purposes of signing in and out. The center is currently utilizing three (3) classrooms for care and supervision. At the time of the inspection, all classrooms had ventilation, were clean and sanitary with age-appropriate toys, furniture readily accessible for children in care. LPA observed a variety of activities to meet the needs of the children including quiet and active play, and rest and relaxation. Children nap on cots and their individual bedding is stored separately, director stated cots are disinfected and wiped down daily. Children bring their own water bottles and center also provides filter water for use. LPA observed all cleaning compounds, disinfectants, sharps, combustibles, and tools to be elevated and inaccessible to children. LPA observed the center has a sufficient number of restrooms and sinks available for the children. Center does not provide food services, parent(s) provide all snacks and lunches. Fire extinguisher was last serviced on 2/3/2023. Last earthquake drill was conducted on 6/1/2023 and last fire drill was conducted on 6/20/2023. Per director, no firearms or ammunition are present on the property.

LPA observed the outdoor area play area to have ample amount of space for children to play with appropriate toys and equipment, ample shade, soft padding, and sandbox free of debris. LPA observed sink and filtered water available for use in the outdoor play area. Center children utilize the YMCA lap pool for swimming activities on Thursdays from 11:00am-12:00pm. LPA observed unobstructed permitter fencing over 6 feet high with self-latching gates.

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: 06/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023

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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Document Has Been Signed on 06/23/2023 03:47 PM - It Cannot Be Edited

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: 06/23/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216.3(b)(1)

Teacher-Child Ratio

(b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance. (1) A ratio of one fully qualified teacher (as specified in Section 101216.1(c) and one aide for every 18 children in attendance in a preschool program is allowed when the aide meets the qualifications specified in Section 101216.2(d). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review and statement by the director, the licensee did not comply with the section cited above in one (1) count which poses/posed a potential health, safety or personal rights risk to persons in care. Aide did not meet the required qualifications as outlined in Title 22 Division 12.
	POC Due Date: 06/30/2023
	Plan of Correction
1 2 3 4	Director to provide to LPA via email, a written statement of how director will remedy the deficiency no later than 6/30/2023, to maryrose.breault@dss.ca.gov

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose Breault	TELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023

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
	VISIT DATE: 06/23/2023

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Incidental Medical Services are currently not being provided at this time.

A sampling of children and staff records were reviewed. Children's records were observed to be complete. One (1) staff member did not meet the required qualification to act in the capacity of an aide. A Type B deficiency has been issued. Teacher present has Pediatric First Aid/CPR certificate which expires 9/2023 and AB 1207 Mandated Reporter Training certificates were discussed. LPA verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements.

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

Type B deficiency cited, exit interview conducted, report reviewed, and copy provided with appeal rights to 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: 06/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023

LIC809 (FAS) - (06/04)

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