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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421711657
Report Date: 06/13/2023
Date Signed: 06/13/2023 01:51:47 PM


Document Has Been Signed on 06/13/2023 01:51 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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:COLUMBIA CHILDREN'S CENTER, INC.FACILITY NUMBER:
421711657
ADMINISTRATOR:CORTNEY DASMANNFACILITY TYPE:
850
ADDRESS:840 EAST STOWELL ROADTELEPHONE:
(805) 922-5437
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:82CENSUS: 65DATE:
06/13/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Cortney DasmanTIME COMPLETED:
02:00 PM
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On June 13th, 2023 at 12:00 PM, Licensing Program Analysts (LPAs) Dixie Wright and Francis Vasquez conducted an Annual/Required inspection. LPAs met with Director Cortney Dasman and advised her of the purpose of the inspection. Director provided a facility tour, both inside and outside.

The program had 65 total children present at time of inspection. There is a toddler class with ten children and two teachers, an Early Years class with 14 children and two staff, a Kindergarten readiness class with 10 children and one teacher, and 31 pre-school age children with four teachers/staff present. Staff to child ratio was within guidelines. The facility operates Mon-Fri 7:00 AM to 5:30 PM.

The facility has primary main rooms for the toddlers, early years, kindergarten readiness and pre-school, all separate. The facility also has three outdoor play areas, all separated. LPA observed required postings on the wall near the entrance, prominently in view. Facility has enough restrooms for children in care. Children bring their own lunch, the facility provides two snacks a day. The menu for snacks is posted on their website and is up to date. There are cubbies in each classroom for the children's belongings. Children bring their own water cups and the facility also provides water. Age appropriate toys, books, supplies for activities, furniture and playground equipment were observed. There is ample shade and space for the children. There is construction going on in the playground for the pre-school aged children; all construction materials were behind a closed, tied off fence and inaccessible to children. LPAs did not observe any hazards on the playground. Carbon monoxide detector was tested and functioning at 12:00 PM. Last disaster drill was done on 12/22/2022. The facility was tested for lead contaminants and report shows the facility water is well below the action level of lead and water can be continued to be used. All staff has current CPR/First Aid and Mandated Reporter Trainings.

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SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Dixie Marie WrightTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: COLUMBIA CHILDREN'S CENTER, INC.
FACILITY NUMBER: 421711657
VISIT DATE: 06/13/2023
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Five children have medication at the facility. The medication is centrally stored and locked in the Director's office. The medications were labeled, parents authorization forms were in place, and all medications were current. Staff are aware of the children who need medication and have been trained on how to dispense the medication.

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 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

Director was reminded that all adults 18 and over, 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 Child Care Center. 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. All staff are fingerprint cleared.

Appeal Rights were provided to Licensee and Director.

No deficiencies were cited during today's inspection.



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: Dixie Marie WrightTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2023
LIC809 (FAS) - (06/04)
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