421711657-12-24-2019-17-CC-MKST-BK6Q66-20191224105301

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 421711657
Report Date: 12/24/2019
Date Signed: 12/24/2019 10:53:10 AM

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:	COLUMBIA CHILDREN'S CENTER, INC.		FACILITY NUMBER:	421711657
ADMINISTRATOR:	CORTNEY DASMANN		FACILITY TYPE:	850
ADDRESS:	840 EAST STOWELL ROAD		TELEPHONE:	(805) 922-5437
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	72	CENSUS: 18	DATE:	12/24/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Cortney Dasmann		TIME COMPLETED:	11:00 AM

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	(1)Licensing Program Analyst (LPA), Melissa Stewart, conducted an unannounced annual/random inspection and was accompanied on a tour of the facility by a teacher who has been designated facility responsibility in the absence of the Director. At the time of inspection, there were 3 toddlers supervised by 3 staff in the Young Toddler Room and 5 children in the Early Years Room supervised by 2 staff. The Pre-K and preschool are divided into two separate indoor classrooms. There were 10 Pre-K and preschool children supervised by 3 staff. The center operates, Monday - Friday, 7am - 5:30pm. All required forms, including monthly menu, are posted at the main entrance of the center. The center utilizes a computerized sign in and sign out system. The number of children signed in by parents corresponded with the number of children present. All classrooms were observed to be clean, organized and free of toxins. Each classroom is equipped with age appropriate toy, books, puzzles, blocks, arts and crafts and dramatic play materials. The toileting areas used by children were observed to be clean. The outdoor activity areas have age appropriate bikes, climbing equipment with cushioning to absorb a fall, toys, tables and shaded areas. Drinking water is available outside via pitchers and disposable cups. Director arrived at approximately 9:05am. The center conducts and documents emergency drills. The most recent drill was held on 10/1/19. The center has first aid kits in each room and outdoors. There is a functioning carbon monoxide detector in the toddler room and the preschool room. Director reported that she changed the batteries and tested the detectors on 4/25/19. Director reported that there are no firearms, ammunition or bodies of water on the premises. 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: 12/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/24/2019

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: COLUMBIA CHILDREN'S CENTER, INC.	FACILITY NUMBER: 421711657
	VISIT DATE: 12/24/2019

NARRATIVE

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A sample of staff files were reviewed for Health Screening, AB 1207 Mandated Reporter Training and immunization requirements per SB 792. At least 3 staff present today have current Pediatric CPR and First Aid certification and Basic Pest Management in School and Child Care Settings training. A sample of children's files were reviewed for medical assessment and emergency contact information and found complete.

This facility provides Incidental Medical Services – IMS. Medications are stored in a box in the Director's office. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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: www.ada.gov/childqanda.htm

LPA reviewed and provided Director with a copy of “Safe to Sleep" brochure. Director reported that the “Effects of Lead Exposure” brochure is distributed to all families at time of enrollment. Director was advised to review Quarterly Updates and Provider Information Notices (PINs) which can be accessed on-line at www.ccld.ca.gov.

In areas evaluated, no deficiencies cited.

LPA observed Director post the Notice of Site visit.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 12/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/24/2019

LIC809 (FAS) - (06/04)

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