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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426207022
Report Date: 12/04/2019
Date Signed: 12/04/2019 02:51:40 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:SBCEO - JUST FOR KIDS STATE PRESCHOOLFACILITY NUMBER:
426207022
ADMINISTRATOR:JANELLE WILLISFACILITY TYPE:
850
ADDRESS:324 SOUTH A STREETTELEPHONE:
(805) 742-2169
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:26CENSUS: 22DATE:
12/04/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Nora ZepedaTIME COMPLETED:
03:00 PM
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Licensing Program Analysts (LPAs) Ruth Gull and Elvin Baddley conducted an unannounced ANNUAL/RANDOM visit to the center. LPAs met with Nora Zepeda, Site Supervisor, and explained the purpose of the visit. The center is located on the grounds of the Hapgood Elementary School in Room 41. The preschool operates two half day programs (8:00 AM - 11:00AM and 12:00PM - 3:00PM). The center is funded by the State Department of Education and operates under Title 5. There were 22 children present with three teachers.
LPS observed age appropriate toys/ furnishings/equipment in the classroom. The classroom also has drinking water, via water fountains, available for children in care. There is one restroom in the classroom and there are also restrooms nearby in the "kinderplay area." Children are escorted by staff to these bathrooms and staff ensure that there are no school age children present in the bathroom when preschool children are using the bathroom. The playground is located in the rear of the classroom. LPAs observed that the play structure had sufficient cushioning material (i.e. wooded chips). LPAs observed that all required documents were posted. LPAs reviewed the snack menu. LPAs reviewed a sampling of children and staff records and reviewed the parent sign in/out sheets. Site Supervisor Zepeda and both teachers have current Pediatric First Aid/CPR certificates (EMSA approved) valid through 9/21/20.
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.Site Supervisor Zepeda was informed of the responsibility of knowing the regulations for a Child Care Center and that the regulations can be accessed online at www.ccld.ca.gov. Site Supervisor was provided the effects of Lead Exposure leaflet (to be provided to all parents).

No deficiencies were cited in areas inspected today. Notice of Site Visit was posted .

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Ruth GullTELEPHONE: (805) 895-4073
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019
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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