426206383-6-26-2019-17-CC-MJIZ-BDHV2R-20190626160335

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426206383
Report Date: 06/26/2019
Date Signed: 06/26/2019 04:04:05 PM

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:	CAPSLO - PASITOS MIGRANT AND SEASONAL HEAD START		FACILITY NUMBER:	426206383
ADMINISTRATOR:	MARIA D. REYES		FACILITY TYPE:	850
ADDRESS:	920 NORTH RAILROAD AVE		TELEPHONE:	(805) 925-3335
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY:	40	CENSUS: 25	DATE:	06/26/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	01:06 PM
MET WITH:	Maria Reyes		TIME COMPLETED:	04:15 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	Licensing Program Analyst (LPA) Martina Jimenez conducted an unannounced 3 Year Required Inspection. LPA met with Site Supervisor, Maria Reyes. The purpose of the inspection was discussed and together a tour of the center was conducted both inside and outside. LPA observed Staff #1 supervising 16 children who were all taking a nap in the preschool room. LPA observed staff #4 and #5 supervising a total of 9 children who were napping the toddler room #1 and #2. The rooms #1 and #2 is one room divided in half. LPA toured both classrooms and observed both rooms to be clean and free of toxins. Center operates seasonal from Aril thru November from 06:00 AM to 04:00 PM. Disinfectants, cleaning solutions and all hazardous items are stored in locked cabinets that are inaccessible to children inside the kitchen/room. The Site Supervisor stated the center has an IMS Plan in place and stores the medication in a locked box inside a locked cabinet that's located above the sink in each classroom. Furniture and equipment appeared to be safe and in good condition for both classrooms. Floors are clean and safe and all trash containers have tight fitting covers. The 5 Toilets and 4 hand washing sinks are safe and in sanitary operating condition. Kitchen, food- preparation and food storage area was observed by LPA to be safe, clean and free of hazards. The Bill center in Nipomo is temporarily providing lunch, breakfast and snacks are prepared here in the center. Menus are posted in the entry of the classroom. Blankets and sheets are washed by staff every Monday. The classroom and the toys are sanitized daily. Drinking water is readily available both indoor and outdoor. Playground equipment observed to be clean, safe and free of hazards. Staff records reviewed contain appropriate documentation of education credits. All staff have a criminal record clearance. Current CPR and First Aid cards were verified for staff present. Children's records reviewed contain all required documents. Sign in/out sheets were complete with signature of person responsible for each child. Maria Reyes stated that there are no guns or ammunition in the center and LPA did not observe any bodies of water during the inspection. The Site Supervisor stated the Carbon Monoxide was tested and found in working condition on March 20, 2019. Report Continued onto LIC 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

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: CAPSLO - PASITOS MIGRANT AND SEASONAL HEAD START	FACILITY NUMBER: 426206383
	VISIT DATE: 06/26/2019

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

During today's inspection the center is in compliance of Title 22 Division 12 and Health and Safety Regulations. No deficiencies were observed.

LPA observed Maria Reyes post the notice of site visit.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

LIC809 (FAS) - (06/04)

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