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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421711580
Report Date: 10/14/2019
Date Signed: 10/14/2019 01:00:37 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:SBSD - MCKINLEY STATE PRESCHOOLFACILITY NUMBER:
421711580
ADMINISTRATOR:MICHELLE ROBERTSONFACILITY TYPE:
850
ADDRESS:350 LOMA ALTA DRIVETELEPHONE:
(805) 965-8571
CITY:SANTA BARBARASTATE: CAZIP CODE:
93109
CAPACITY:63CENSUS: 15DATE:
10/14/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Rebecca MorrisonTIME COMPLETED:
01:05 PM
NARRATIVE
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Licensing Program Analysts (LPAs) C. Patterson and S. Mendoza- Ceja made an UNANNOUNCED visit for the purpose of conducting an ANNUAL/ RANDOM inspection. LPAs met with Rebecca Morrison and explained the purpose of the visit. The preschool is located on the grounds of McKinley Elementary School. The program operates Monday through Friday with two sessions, one from 8am-11am and the second from 12pm-3pm. The facility was toured inside and outside. LPAs observed a sign in/sign out roster and a posted snack menu. LPAs did not observe any bodies of water on the premises. Ms. Morrison stated that there are no firearms or ammunition present on the premises. There is one classroom with two bathrooms with two sinks and two toilets available to children. LPAs did not observe any toxins/hazardous items accessible to children. LPAs observed the inside and outside space to be clean and free from hazards. LPAs observed age appropriate toys/furnishings. LPAs observed that the outdoor play structure has sufficient cushioning. Drinking water is available both inside and outside. A refrigerator is available to keep perishable foods from spoiling. At least one staff member present has CPR/ First Aid training valid until 4/26/21. A fire drill was last completed on 09/26/19.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes 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
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: SBSD - MCKINLEY STATE PRESCHOOL
FACILITY NUMBER: 421711580
VISIT DATE: 10/14/2019
NARRATIVE
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Director was reminded that the Child Care Center regulations could be accessed online at www.ccld.ca.gov LPAs reviewed and provided Director with Effects of Lead Exposure Pamphlet (To be provided to all current and future parents).


The following Type B deficiency is cited on page 2. Appeal Rights provided.

The LIC 9213 (Notice of Site Visit) was posted during today's visit.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: SBSD - MCKINLEY STATE PRESCHOOL
FACILITY NUMBER: 421711580
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/14/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/14/2019
Section Cited

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Carbon monoxide detectors required; inspection: Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.

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This requirement was not met as evidenced by interview and inspection of the carbon monoxide detector which revealed it was not in operating order (no batteries installed). This poses a potential Health, Safety or Personal Rights 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: 10/14/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/14/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3