426200196-3-18-2022-17-CC-MJIZ-CCMTTL-20220318150055

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426200196
Report Date: 03/18/2022
Date Signed: 03/18/2022 03:01:02 PM

Document Has Been Signed on 03/18/2022 03:01 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:	CAC - ALVIN CENTER		FACILITY NUMBER:	426200196
ADMINISTRATOR:	MARIA BEAS		FACILITY TYPE:	850
ADDRESS:	316 E. MCELHANY		TELEPHONE:	(805) 347-1975
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	47	CENSUS: 10	DATE:	03/18/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Lucy		TIME COMPLETED:	03:10 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	Due to COVID-19 pandemic, LPA asked the pre-screening questions prior to inspection. Lead Teacher's responses indicate there was no COVID-19 exposure on site. LPA Martina Jimenez conducted a case management visit for the purpose of inspecting the pre-school classroom (Classroom C) which was decreased in size to accommodate a decrease in capacity. LPA Jimenez met with Lucky Mendoza, Lead Teacher and together a tour of the facility was conducted inside and out. The facility is a combination center which also cares for Infants and toddlers in classroom A and classroom B (426216167) under separate facility licenses. There are a total of 3 classrooms located at the facility. The preschool classroom (C) of the center will consist of a one classroom and is equipped with a boys and girls restroom with a total of two toilets and two sinks. The room measured out 990.36 sq ft. after subtracting the encumbered space which allows for a capacity of 28 children. The room has a sink and cubbies for the requested capacity. There is age appropriate furnishing and instructional aids. The outdoor space measured out at 13,182.96 square foot which is adequate space for 175 This Report Continues on LIC 809C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022

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: CAC - ALVIN CENTER	FACILITY NUMBER: 426200196
	VISIT DATE: 03/18/2022

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children. Water containers will be taken outside to hydrate children. Shade is available via a patio cover and trees.

Per Ms Mendoza stated they have Twenty(20) children enrolled currently and had ten (10) children present today with three (3) staff.

LPA asked if the center was handling medications was told no. LPA asked if they were holding any IMS medications for children and was told yes an Nebulizer. LPA verified staff were current in CPR/First Aid.

The classroom measured approximately 990.36 sqft / 35 = 28 children.

There are 2 toilets = 30 children
There are 2 sinks = 30 children

A fire clearance inspection was approved by the Santa Maria County Fire Department on 3/10/2022. The center meets Title 22 Division 12 requirements.

This center is approved for a decrease in capacity; effective date will be 3/18/2022, for the decrease in capacity to 23. A new license will be ordered.

A copy of this report was reviewed and provided to the Lucy Mendoza, Lead Teacher. 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: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022

LIC809 (FAS) - (06/04)

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