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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421711023
Report Date: 04/18/2022
Date Signed: 04/18/2022 03:18:12 PM


Document Has Been Signed on 04/18/2022 03:18 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:ORFALEA CHILDREN'S CENTER LAB SCHOOL AT AHCFACILITY NUMBER:
421711023
ADMINISTRATOR:MARIA SUAREZFACILITY TYPE:
850
ADDRESS:800 SOUTH COLLEGE DRIVETELEPHONE:
(805) 922-6966
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:78CENSUS: 19DATE:
04/18/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Maria SuarezTIME COMPLETED:
03:30 PM
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On April 18, 2022 at 1:31 PM, Licensing Program Analysts (LPAs) Francisco Pedroza and Rona Chavez conducted an unannounced Annual/Random inspection. LPAs met with facility Director Maria Suarez and advised her the purpose of the inspection. Director provided LPAs a tour of the facility inside and out. There were 19 children in care with six (6) staff providing supervision.

LPAs observed required licensing documents mounted on the wall at the entrance of the facility. LPAs observed a facility menu posted on the wall. The center provides breakfast, lunch, and snacks for the children. The facility has enough restrooms available for the children in care. LPAs did not observe any hazards/toxins items accessible to children. Each of the classrooms have age appropriate toys and furniture readily accessible for children in care. Facility provides children that are staying full day a sleeping cot during quiet time if they choose to sleep. The outdoor playground has an ample amount of space for children to play. LPAs observed the playground has age appropriate toys and structures available for children to use. The playground has ample amount of shade available. The facility has water available for children inside and out.

Center uses hand written sign-in and sign-out logs. A sampling of children and staff records were reviewed. Currently the facility does not have children that require Incident Medical services (IMS). Teachers have required qualifications. Teachers present have current Pediatric First Aid/CPR certificates that expire on 10/02/2023. Teachers present have current AB 1207 Mandated Reporter Training certificates that expire on 5/23/2023. LPAs verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements. Facility is follow current Covid-19 and Safe Sleep guidelines. LPAs provided facility a Carbon Monoxide resource.

No deficiencies were cited during today's inspection.

Continued on 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 04/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/18/2022
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: 04/18/2022
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Home Section 102417. When any IMS is provided, a plan for providing 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2022
LIC809 (FAS) - (06/04)
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