426207285-10-17-2024-17-CC-EBAY-DA5PP4-20241017112856

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426207285
Report Date: 10/17/2024
Date Signed: 10/17/2024 11:29:03 AM

Document Has Been Signed on 10/17/2024 11:29 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:	SBCEO - LOS ALAMOS STATE PRESCHOOL		FACILITY NUMBER:	426207285
ADMINISTRATOR:	JANELLE WILLIS		FACILITY TYPE:	850
ADDRESS:	480 CENTENNIAL STREET		TELEPHONE:	(805) 344-1024
CITY:	LOS ALAMOS	STATE: CA	ZIP CODE:	93440
CAPACITY:	26	CENSUS: 5	DATE:	10/17/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Luz Bernal		TIME COMPLETED:	11:40 AM

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On 10/17/24, at 9:20 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Three Year Required inspection of the abovementioned Child Care Center (CCC). LPA met with Luz Bernal, Site Supervisor of the CCC. LPA explained the purpose and nature of the inspection. The facility is located on the grounds of Olga Reed Elementary School. The Preschool operates Monday – Friday 8:00 AM – 11:00 AM. The facility uses one classroom (Room 1) for child care services. At the time of inspection, LPA observed 5 children on site, along with 2 teachers.

LPA observed required licensing forms and documents posted at the entry door of the CCC. The CCC has a posted schedule of activities for children as well as a menu of the snacks provided. The CCC uses an electronic Sign In/Out system (Care Cloud). LPA reviewed a sample of the system's entries and notes the entries contain the arrival and departure times of children in care and well as the electronic signature of the children's authorized representatives conducting the given Sign In/Out. The classroom of the CCC has age appropriate equipment and furnishings available for children in care. The classroom is divided in to different learning areas. LPA observed waste receptacles throughout the CCC with thigh fitting lids. The CCC's carbon monoxide detector is integrated in the building's fire detection's system. The detector was not tested by LPA. Site Supervisor informed LPA the fire detection system is regularly tested and monitored by the Elementary School's personnel. The CCC uses one restroom for children in care. The restroom is observed to be in safe and sanitary operating condition. The CCC has a refrigerator in CCC's supply room. The refrigerator has food and beverages for children in care. The CCC provided morning snack. No lunches are provided to children in care given the modified hours of operation. The CCC has available drinking water for children inside and outside of the facility. CCCs constructed before 1/1/20, to test their water (used for drinking and food preparation) for lead contamination before 1/1/23, and then every 5 years after the date of the first test. For CCC licenses issued after 7/1/22, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

(CONT. 809-C, Page 2)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

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: SBCEO - LOS ALAMOS STATE PRESCHOOL	FACILITY NUMBER: 426207285
	VISIT DATE: 10/17/2024

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Disinfectants, cleaning solutions and sharps are stored in a centralized location (CCC's supply room) which is inaccessible to children in care. Site supervisor informed LPA there is no medication stored on site, however when medication is on site, medication is stored in an elevated cabinet which is inaccessible children in care. The classroom has Fist Aid Kits. LPA observed ample cubbies for the storage of children's personal items.

The CCC outdoor playground area is enclosed within the elementary school by chain link fencing. The fence’s entry/exit gates are secured. The surfaces of the outdoor playground area is varied. The outdoor playground is partitioned to separate an area for play from a garden area. LPA observed three shed in the outdoor area which contains CCC's supplies. The sheds are secured. LPA observed age appropriate play equipment in the play areas. The play equipment is free of sharp, loose or pointed objects. The play structures in the outdoor playground area has adequate cushioning materials to absorb falls and shade created by building overhangs, large trees and umbrellas. LPA reminded Site Supervisor to replace outdoor play equipment and furnishings when such items begin to degrade or are not in good repair. LPA observed no bodies of water at the CCC.

LPA reviewed children, staff and facility records. The children’s records sampled were complete and found to contain emergency contact information and immunization records, among other required licensing documentation and forms. Staff records were reviewed. Staff records sampled were complete and found to contain First Aid/CPR certifications (EMSA approved) and Mandated Reporter Training certification, among other required licensing documentation and forms. LPA notes the last disaster drill at the facility occurred on 10/9/24. No firearms or ammunition are stored on site.

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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection (CONT. LIC 809-C, Page 3)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

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: SBCEO - LOS ALAMOS STATE PRESCHOOL	FACILITY NUMBER: 426207285
	VISIT DATE: 10/17/2024

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experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility representative Luz Bernal.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

LIC809 (FAS) - (06/04)

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