421711023-1-16-2020-17-CC-MKST-BKVSRE-20200116130612

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 421711023
Report Date: 01/16/2020
Date Signed: 01/16/2020 01:06:18 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:	ORFALEA CHILDREN'S CENTER LAB SCHOOL AT AHC		FACILITY NUMBER:	421711023
ADMINISTRATOR:	MARIA SUAREZ		FACILITY TYPE:	850
ADDRESS:	800 SOUTH COLLEGE DRIVE		TELEPHONE:	(805) 922-6966
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	78	CENSUS: 0	DATE:	01/16/2020
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Maria Suarez		TIME COMPLETED:	01:10 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	Licensing Program Analyst (LPA), Melissa Stewart, conducted an unannounced inspection and met with Director, Maria Suarez. LPA explained that the purpose of the inspection was to follow up on an Unusual Incident Report (UIR) which was received via telephone call to the Community Care Licensing (CCL) office on 12/12/19, followed by a written UIR to the CCL office which was received on 12/13/19. At time of inspection there were zero (0) children in care. Director informed LPA that the center closed for Winter Break on 12/13/19 and children will return on 1/21/20. Per the center's self-report, Staff 1 (S1) observed an inappropriate interaction between C1 and C2 in the outdoor activity area on 12/12/19 at 3:30pm. S1 observed C1 laying on top of C2 and pulling C2's pull up down. S1 immediately intervened and separated the two children. S1 indicated that C2 did not seem distressed. S1 talked with both children about keeping their clothes on and not letting anyone touch or see body parts that are covered by clothes. S1 communicated with S2 and S3 about the interaction between C1 and C2. S1 maintained close supervision of C1 while S2 supervised C2 in another area of the playground. Director showed LPA where the incident occurred and the position of the three staff on the playground as they supervised the children that day. LPA observed that there was no visual obstruction within the area where the incident occurred. Director reported that there were three (3) fully qualified teachers supervising 15 children at the time of the incident. Continued on 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020

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: ORFALEA CHILDREN'S CENTER LAB SCHOOL AT AHC	FACILITY NUMBER: 421711023
	VISIT DATE: 01/16/2020

NARRATIVE

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Director informed both parents of the children that same day. C2s parent seemed satisfied by the way the staff is handling the situation. Director reported that C1's parent had been previously advised of staff concerns regarding C1s behavior at the center. C1s parent visited the Child Abuse Listening and Meditation (CALM) office on 12/13/19 to seek assistance on how to support and guide C1.

Director conducted a staff meeting today (9-11am). One of the topics addressed was "teacher to teacher talk" in order to continuously supervise "the flow of the children" while they are playing. A puppet show called "Good Touch, Bad Touch" will be presented by North County Rape Crisis Center on 2/10/20. C1s parent will meet with Director and C1s Lead Teacher on the children's first day back after the Winter Break, 1/21/20. A plan of action will be discussed. C1 will continue to be closely monitored by center staff.

Given the incident was observed by staff who heightened supervision of C1 and C2 and followed up with the parents of the children involved, no deficiencies are being issued as a result of this incident.

LPA observed Notice of Site Visit Posted.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020

LIC809 (FAS) - (06/04)

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