426206383-8-31-2021-17-CC-EBAY-C6ETE9-20210831143934

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426206383
Report Date: 08/31/2021
Date Signed: 08/31/2021 02:39:42 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: 21	DATE:	08/31/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Maria Reyes		TIME COMPLETED:	02:30 PM

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On 8/26//21, at 12:15PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection the abovementioned Child Care Center (CCC). LPA met with Maria Reyes, Site Supervisor of the CCC. LPA in the company of the Site Supervisor toured the interior and exterior of the CCC. The CCC operates from 5:00 AM to 4:00 PM, Monday - Friday. The CCC uses three classrooms (Preschool Classroom, Toddler Room 1 and Toddler Room 2) for child care. LPA observed a total of 21 children on site during the inspection along with 8 teacher providing oversight and supervision.

LPA observed the CCC's classrooms to be clean and organized. Age appropriate toys ,equipment and furnishings are observed throughout the CCC's interior. LPA observed carbon monoxide detectors in each classroom. LPA did not tested the carbon monoxide detectors while on site as the inspection occurred while a bulk of the CCC's children are napping. LPA observed all restroom used by children in care to be in safe and sanitary operating condition. LPA also observed changing tables in he Toddler room in proximity of sinks. An operable refrigerator is located in the CCC's kitchen. The CCC provides breakfast, lunch and snacks to children in care. Menus are displayed in the CCC's classrooms. Site Supervisor informed LPA children have the ability to access (bottled) water inside and outside of the classroom.

LPA observed medications stored on elevated shelves in classroom cabinets which are beyond the reach of children in care. Sharps are also stored in elevated cabinets in the classrooms. Cleaning compounds and supplies are observed in the staff restroom which is inaccessible to children in care. Likewise, clean supplies are observed underneath a cabinet sink in the classroom which is secure and inaccessible to children in care.

The CCC has two outdoor play areas (Toddler Yard and Preschool Yard). Each yard is enclosed by chain linked fencing. The play yard entry/exit gates are secured. LPA observed age appropriate toys and play equipment in the play areas. LPA observed the toys and play equipment in the play area to be in suitable condition and free of sharp, loose or pointed objects. Site Supervisor is reminded to remove toys and play

(CONT.809-C)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2021

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: 08/31/2021

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equipment from the play areas when the aforementioned becomes inappropriate for use. LPA observed a total of five sheds in the play areas which contain CCC equipment and supplies. Each shed is secure by lock. The play structures in the area have adequate cushioning to absorb falls and shade created by shade covers and trees.

LPA observed licensing required notices and documents posted predominately on the wall in each classroom. LPA reviewed sign in/sign out documents in the classroom. All forms reviewed are found to be completed appropriately.

A sampling of staff and children's records are reviewed. The children’s records are complete and found to contain emergency contact information as well as immunizations. The CCC maintains documentation capturing the children sleep in intervals of 15 minutes.Staff records are reviewed and contained current pediatric First Aid/CPR certifications as well as certifications for Mandated Reporter. Site Supervisor informed LPA no firearm or ammunition is stored on the premises.

This facility does provide 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 Family Child Care Homes Section 102417. 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 COVID 19 guidance and best practices with the Site Supervisor. Site Supervisor is reminded that it is Site Supervisor responsibility to know the regulations for a CCC which can be accessed on-line at www.ccld.ca.gov.

In areas evaluated, there were no deficiencies cited at this time.

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: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2021

LIC809 (FAS) - (06/04)

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