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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421711934
Report Date: 04/18/2023
Date Signed: 04/18/2023 01:09:13 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 04/18/2023 01:09 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:SBSD - HARDING STATE PRESCHOOLFACILITY NUMBER:
421711934
ADMINISTRATOR:MICHELLE ROBERTSONFACILITY TYPE:
850
ADDRESS:1625 ROBBINS ST.TELEPHONE:
(805) 965-8994
CITY:SANTA BARBARASTATE: CAZIP CODE:
93101
CAPACITY:43CENSUS: 9DATE:
04/18/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:43 AM
MET WITH:Erin CavazosTIME COMPLETED:
01:26 PM
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On April 18th 2023, at 10:43AM, Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced annual/random inspection. LPA met with facility director Erin Cavazos and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. The program operates from 8:00AM-11:00AM for morning session and 12:00PM – 3:00PM for afternoon session, Monday through Friday. At the time of the inspection there were nine (9) children, and two (2) staff present.

The facility currently utilizes two (2) classrooms for care and supervision, classroom #20 and classroom #21. LPA observed required licensing documents mounted on the wall at the entrance of the facility and the menu for the month of April. Facility uses written logs for the purposes of signing children in and out. Both classrooms have age-appropriate toys and furniture readily accessible for children in care and offer ample ventilation. LPA observed cleaning compounds, disinfectants, sharps, poisons, toxins, and tools to be inaccessible to children and / or locked in a cabinet. Children have access to hand washing sinks, water filtration, and bring their personal water bottles from home. LPA observed three (3) restrooms for use which were clean and functioning at the time of the inspection. Each classroom maintains regulation fire extinguisher with last service date of 8/2/2022. LPA observed first aid kits available for use in classrooms. The last emergency drill was conducted on 12/15/2022. At this time, no incidental medical services are being provided. Director stated no firearms or ammunition are present on the property.

Facility provides breakfast to morning session children and lunch to afternoon session. LPA toured the kitchen and found it to be clean, functioning, and free of rodents.

The outdoor area has ample amount of space for children to play and enclosed by perimeter gated fencing. LPA observed age-appropriate play equipment, soft cushioning, and shaded areas. Sand box is free, clear of debris and cover present for use. Drinking water and hand washing stations are available and no bodies of water are present.

CONTINUED ON LIC809C

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:
DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/18/2023
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: SBSD - HARDING STATE PRESCHOOL
FACILITY NUMBER: 421711934
VISIT DATE: 04/18/2023
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A sampling of children and staff records were reviewed. LPA observed children's files to be complete and current. LPA observed staff files to be complete and current. LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements. Teachers meet the required qualifications. Teacher present has current Pediatric CPR/First-Aid certificate that is valid through 10/21/2024. Teachers present have current Mandated Reporter certificates.

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 follow 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.

No deficiencies were cited during today’s inspection.

Exit interview conducted, report reviewed with director, and copy provided.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2023
LIC809 (FAS) - (06/04)
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