421710362-7-14-2023-17-CC-MBRT-CTQU5D-20230714151634

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 421710362
Report Date: 07/14/2023
Date Signed: 07/14/2023 03:16:38 PM

Document Has Been Signed on 07/14/2023 03:16 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:	OAKS PARENT CHILD WORKSHOP		FACILITY NUMBER:	421710362
ADMINISTRATOR:	EMBRY, THERESA		FACILITY TYPE:	850
ADDRESS:	605 W. JUNIPERO ST.		TELEPHONE:	(805) 682-7609
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93105
CAPACITY: 45	TOTAL ENROLLED CHILDREN: 45	CENSUS: 12	DATE:	07/14/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:41 PM
MET WITH:	Theresa Embry		TIME COMPLETED:	03:35 PM

NARRATIVE

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On July 14^th, 2023, at 12:41PM Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced Annual/Random inspection. LPA met with Director Theresa Embry and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. The facility operates 9:00AM– 1:00PM during summer session, and 8:30AM – 4:30PM during the school year. At the time of the inspection there were twelve (12) children, and two (2) teachers present.

LPA observed required licensing documents mounted on the wall at the entrance of the facility. Parents use Jovial electronic app for the purposes of signing in and out. The facility is currently utilizing two (2) classrooms for care and supervision. Classrooms have ample ventilation, flooring surface that is clean and safe, age-appropriate toys, and 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 daily, and classrooms are cleaned every evening by a janitorial service during the school year, and once a week during summer session. Children bring their own water bottles and facility 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 facility has a sufficient number of restrooms and sinks available for the children, which were functioning and clean at the time of the inspection. Children bring their own food from home; facility does not provide snacks during the summer session. LPA observed kitchen to be clean, appliances in good working order and free of rodents. Fire extinguisher was last serviced on 5/2/2023. First aid kits are available. Per director, no firearms or ammunition are present on property.

CONTINUED ON LIC809C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

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 07/14/2023 03:16 PM - It Cannot Be Edited

Created By: Maryrose Breault On 07/14/2023 at 02:37 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: OAKS PARENT CHILD WORKSHOP	FACILITY NUMBER: 421710362
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216(f)

Personnel Requirements

(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in three counts which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/14/2023
	Plan of Correction
1 2 3 4	DIrector to provide copies of Pediatric EMSA CPR certificates for all staff to maryrose.breault@dss.ca.gov by 8/14/2023.

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

LICENSING EVALUATOR NAME:

Maryrose Breault

LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

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: OAKS PARENT CHILD WORKSHOP	FACILITY NUMBER: 421710362
	VISIT DATE: 07/14/2023

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LPA observed the outdoor area play area to have abundant amount of space for children to play with appropriate toys and equipment, soft padding to absorbs falls, and sandbox free of debris. LPA observed ample shade, hand washing station, and water fountain for children’s use. No bodies of water are present on property.

Incidental Medical Services are currently being provided. In the staff room, LPA observed children’s prescription medications to be elevated, locked, separated, labeled, containing required documentation.

A sampling of children and staff records were reviewed. Children’s files were found to be complete. Teachers meet the required qualifications. LPA verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements. LPA reviewed AB 1207 Mandated Reporter Training certificates.

At the time of the inspection teachers and director present did not have current/valid Pediatric First Aid/CPR. This is a violation of Title 22 Division 12 101216(f), and a Type B violation has been cited.

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 violation has been cited on LIC809D.

Technical assistance provided. LPA provided director courtesy Emergency Disaster Drill Log, and LIC9052.

Exit interview conducted, report reviewed, and copy with Appeal Rights provided 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.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

LIC809 (FAS) - (06/04)

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