426206950-5-20-2019-17-CC-GRES-BCCQ8E-20190520115638

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426206950
Report Date: 05/20/2019
Date Signed: 05/20/2019 11:56:48 AM

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:	ST. MARY'S SCHOOL		FACILITY NUMBER:	426206950
ADMINISTRATOR:	MARY ROWELL		FACILITY TYPE:	850
ADDRESS:	309 SOUTH SCHOOL		TELEPHONE:	(805) 346-6541
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	57	CENSUS: 34	DATE:	05/20/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Mary Rowell		TIME COMPLETED:	12:00 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) Gigi Reyes conducted an unannounced annual/random and met with the Director, Ms. Mary Rowell. There were 34 children present, 4 teachers and the director. The center was toured inside and out. There were 3 classrooms being used by day care. The out door activity area is completely fenced, equipped with age and size appropriate play structure and equipment. CPR and First Aid expires on 6/2020. There is a presence of carbon monoxide. LPA verified the educational qualifications of teachers and director. Proof of immunization are complete and met the SB 792 requirements. Required forms and menus are posted in a prominent location. Children's files were reviewed and found complete. Based on LPA's review of teacher's file, it was observed that Staff 3 and Staff 4 (Confidential list) have not taken the AB 1207 Mandated Reporter Training. Center is not providing Incidental Medical Services. 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. continued on 809 C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019

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: ST. MARY'S SCHOOL	FACILITY NUMBER: 426206950
	VISIT DATE: 05/20/2019

NARRATIVE

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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

In the areas evaluated, a deficiency was cited under Health and Safety. (809D)

LPA observed Director posted the notice of site visit.
FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: ST. MARY'S SCHOOL	FACILITY NUMBER: 426206950
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/20/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/30/2019 Section Cited CCR 1596.8662	1 2 3 4 5 6 7	(b) (1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training... every two years... This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Director will submit AB 1207 certificates for Staff 3 and Staff 4 on or before 5/30/2019. gigi.reyes@dss.ca.gov
	8 9 10 11 12 13 14	Based on LPAs' review of teache'sr file, it was observed that S3 and S4 have not taken the AB 1207 Mandated Reporter Training. Educator's Mandated Eporter Taining was taken instead. This poses a potential rist to health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019

LIC809 (FAS) - (06/04)

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