426200093-12-3-2024-17-CC-GRES-DBLNQD-20241203093947

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426200093
Report Date: 01/17/2024
Date Signed: 12/03/2024 09:40:18 AM

Document Has Been Signed on 12/03/2024 09:40 AM - 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:	ST. RAPHAEL SCHOOL/PRESCHOOL		FACILITY NUMBER:	426200093
ADMINISTRATOR/ DIRECTOR:	SANTOS, EDNA L.		FACILITY TYPE:	850
ADDRESS:	160 ST. JOSEPH STREET		TELEPHONE:	(805) 967-4435
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93111
CAPACITY: 27	TOTAL ENROLLED CHILDREN: 27	CENSUS: 15	DATE:	01/17/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:30 AM
MET WITH:	Edna Santos		TIME VISIT/ INSPECTION COMPLETED:	02:10 PM

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	On 11/22/2024 LPA Reyes re created this report based on the Required inspection conducted on January 17, 2024 , from 11:30 AM to 2:10 PM . The original report written on the day of the inspection was corrupted by the system and could not be recovered. On January 17, 2024, at 11:30 AM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Required 3-year inspection at the childcare center located in the grounds of St. Raphael Church. The purpose of the inspection was discussed with Director Ms. Edna Santos who provided a tour of the facility. During the tour LPA observed the following: There were 15 children playing in the playground under the supervision of two staff members. Following that LPA and Director proceeded with the inspection of the classroom, it was observed that licensing-required notices are posted prominently at the entrance door. The center had one classroom in use for childcare, and two toilets for the girls, one toilet and one urinal for the boys and total of three sinks. Age-appropriate games, activities, and furniture were available for children inside the classroom, and the outdoor playground had age-appropriate toys and equipment with ample shade. Continued on LIC 809C

Maria Mueller	TELEPHONE: (805) 562-0410
Gigi Reyes	TELEPHONE: (805) 698-7114
	DATE: 11/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024

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: ST. RAPHAEL SCHOOL/PRESCHOOL	FACILITY NUMBER: 426200093
	VISIT DATE: 01/17/2024

NARRATIVE

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The center had water available for children inside and outside the classroom. The children bring their own water bottles to refill at the CCC when needed.

A sampling of children and staff records were reviewed. Children’s files were found
complete. Teachers present have current Pediatric First Aid/CPR certificate that expires
on 8/5/2025. All staff members have renewed the Mandated Reporter Training which
expires on 1/10/2025. Staff have complete Health Screening record on file including the
tuberculosis clearance. LPA verified SB 792 Child Care Adult Immunization and the
educational qualifications.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Continued on LIC 809C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024

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: ST. RAPHAEL SCHOOL/PRESCHOOL	FACILITY NUMBER: 426200093
	VISIT DATE: 01/17/2024

NARRATIVE

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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1 , 2023, and then every 5 years after the date of the first test.
For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21. 1-CCP). LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21. 1-CCP.
LPA referred director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

LPA discussed the safe sleep regulations with director and discussed the Child Care
Licensing Safe Sleep webpage at https://www.cdss.cagov/inforesources/chjld-care-licensing/public-information-and-resources
/safe-sleep as an additional resource.

Continued on LIC 809C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 11/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2024

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: ST. RAPHAEL SCHOOL/PRESCHOOL	FACILITY NUMBER: 426200093
	VISIT DATE: 01/17/2024

NARRATIVE

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LPA also informed Director, Edna Santos 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.
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at:
https.V/www. ada. gov/resources/child-care-centers/. PIN 22-05-CCP Page Five
Director was informed of the MyChildCarePlan.org website; a consumer education
website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During today's inspection, no deficiencies were cited under Title 22 Division 12.

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

Exit interview conducted and report was reviewed with the Director, Edna Santos

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 11/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2024

LIC809 (FAS) - (06/04)

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