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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426206243
Report Date: 08/16/2022
Date Signed: 08/16/2022 11:15:42 AM


Document Has Been Signed on 08/16/2022 11:15 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:CAC - MERIDAN CENTERFACILITY NUMBER:
426206243
ADMINISTRATOR:NOHEMY ESTRADA'FACILITY TYPE:
850
ADDRESS:1720 S. DEPOTTELEPHONE:
(805) 739-0660
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:20CENSUS: 7DATE:
08/16/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Nohemy EstradaTIME COMPLETED:
11:30 AM
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On 8/16/22, at 9:15 AM Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required inspection the abovementioned Child Care Center (CCC). LPA met with Nohemy Estrada, 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 from 8:00 AM to 11:30 AM, Monday - Friday. LPA observed seven children in care along with two staff members providing are care and supervision.

The CCC is clean and organized. The CCC has ventilation to afford for child care. LPA observed a great room used for child care services which is petitioned to provide different areas of instruction. Toys and furnishings throughout the CCC's interior are age appropriate. LPA observed a carbon monoxide detector in the CCC which was tested at 9:45 AM and found to be are operable. The CCC's bathroom is in safe and sanitary operating condition. The CCC has an operable refrigerator. The refrigerator contains the children's food which is labeled and dated. The CCC provides the children in care bottled water inside the CCC and in the outside play area. Site Supervisor was reminded of the need to have the CCC's water sources tested for lead containments. The CCC provides lunches and snacks to children in care. Disinfectants and cleaning solutions are secure in the facility's kitchen area in an elevated cabinet. Medication at the CCC is stored in a lock box in the Site Supervisor office which is inaccessible to children in care. LPA observed menus posted on the walls of the CCC as well as other licensing required notices. LPA reviewed the CCC 's Sign In/ Out documents. LPA notes the forms contains the children's arrival and exits along the the authorized representative's signature.

The outdoor play area is enclosed by wrought iron fencing. The ground of the outdoor play area is made up of various surfaces. LPA observed age appropriate toys/play equipment in the play area. The toys/play equipment are free of sharp, loose or pointed objects. There are sheds in the area which are secure and contains center supplies. The outdoor play area also has ample shade created by trees, shade sails and building overhangs. Site Supervisor is reminded to replace play equipment which degrades or is not in good
(CONT. LIC 809-C)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2022
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 - MERIDAN CENTER
FACILITY NUMBER: 426206243
VISIT DATE: 08/16/2022
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repair. LPA notes no bodies of water are on site.

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 found to be current. Site Supervisor informed to keep training certifications current and renew certifications prior to expirations. Site Supervisor informed LPA no firearms or ammunition is on site.

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


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 Nohemy Estrada.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022
LIC809 (FAS) - (06/04)
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