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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426203096
Report Date: 08/15/2022
Date Signed: 08/15/2022 02:44:07 PM

Document Has Been Signed on 08/15/2022 02:44 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 - LOS ADOBES CENTERFACILITY NUMBER:
426203096
ADMINISTRATOR:GEORGINA SANTOYFACILITY TYPE:
850
ADDRESS:1026 W. BOONETELEPHONE:
(805) 928-0044
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 17TOTAL ENROLLED CHILDREN: 17CENSUS: 8DATE:
08/15/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:43 PM
MET WITH:TIME COMPLETED:
03:00 PM
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On 8/15/22, at 12:30 PM Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced One Year Required inspection the abovementioned Child Care Center (CCC). LPA met with Rebecca Romero, Site Supervisor of the CCC and explained the purpose of the inspection. LPA, in the company of the Site Supervisor toured the interior and exterior of the CCC. The CCC operates an AM/PM class from 8:00 AM to 11:30 AM and 1:00 PM to 4:30 PM, Monday - Friday and staff is present from 7:30 AM to 4:45 PM, Monday - Friday. The facility is a preschool age program. It should be noted, that when inspection started there are no children present but children are anticipated to arrive at 1:00 PM. At the end of the inspection, LPA notes there were eight (8) children present.

The CCC is clean and organized. Thee CCC has ventilation to afford for child care. LPA observed age appropriate toys and furnishings throughout the CCC. LPA observed carbon monoxide detector in the CCC that was tested at 1:00 PM and was operable. The CCC's bathroom is in safe and sanitary operating condition. The CCC provides snack and meals to the children, and food is prepared in a different location and then transported to this facility. The CCC has an operable refrigerator. The refrigerator contains children milk. The CCC provides the children in care filtered water inside the CCC and in the outside play area by means of a water pitcher and disposable cups. Site Supervisor was reminded of the need to have the CCC's water sources tested for lead containments. Disinfectants and cleaning solutions are secure in the facility's office and in an elevated cabinet in the classroom. There is no medication on site, however when medication is present it is also stored in the office area which inaccessible to children in care. LPA observed a menu posted as well as other licensing required notices. LPA observed a sign- in and sign-out binder containing individual sign in sheets for each child. LPA reviewed sign-in and sign-out binder and notes that all children present were signed in with children's arrival and departures along the authorized representative.

The outdoor play area is enclosed by chain link fencing. LPA observed age appropriate toys/play equipment in the play area. The toys/play equipment are free of sharp, loose or pointed objects. CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2022
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 - LOS ADOBES CENTER
FACILITY NUMBER: 426203096
VISIT DATE: 08/15/2022
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The outdoor play area also has ample shade created by a tree and building overhangs.

Staff and children records are reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records.. Staff records were reviewed and current. Site Supervisor informed to keep training certifications current and renew certifications prior to expirations.

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

LPA discussed the safe sleep regulations with Site Supervisor and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an
for additional resource. LPA also informed Site supervisor 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.

Facility representative were 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.

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

Exit interview conducted and report was reviewed with the Site Supervisor, Rebecca Romero.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022
LIC809 (FAS) - (06/04)
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