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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426207285
Report Date: 10/28/2019
Date Signed: 10/28/2019 09:34:20 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:SBCEO - LOS ALAMOS STATE PRESCHOOLFACILITY NUMBER:
426207285
ADMINISTRATOR:JANELLE WILLISFACILITY TYPE:
850
ADDRESS:480 CENTENNIAL STREETTELEPHONE:
(805) 344-1024
CITY:LOS ALAMOSSTATE: CAZIP CODE:
93440
CAPACITY:26CENSUS: 20DATE:
10/28/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Luz BernalTIME COMPLETED:
09:40 AM
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1) Licensing Program Analyst (LPA), Melissa Stewart, conducted an unannounced annual random inspection and met with Site Supervisor, Luz Bernal. The preschool operates, Monday - Friday, 8:00 am - 11:00 am. The center was toured inside and outside. All required forms, including the monthly menu, are posted at the main entrance of the center. There were 20 children supervised by three staff and two parent helpers at the time of inspection. LPA observed that the number of children signed in corresponded with the number of children present. Parents sign in children in using their first and last name and the time of day is noted. The classroom is clean, organized and free of toxins. LPA observed age appropriate toys, books, games, and activity centers. There is carbon monoxide detector in the center. Director reported that there are no firearms, ammunition or bodies of water on the premises. The restrooms used by children were observed to be clean.

The outdoor play area is completely fenced. LPA observed age appropriate toys, climbing structure located on sand to absorb a fall, bikes, painting easel and music area. Drinking water is available both inside and outside.

Site Supervisor is CPR and First Aid certified through 8/6/21. Staff have completed the Mandated Reporter Training per AB 1207 and have met immunization requirements per SB 792. A sample of children's records were reviewed and found complete.
Continued on 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2019
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: SBCEO - LOS ALAMOS STATE PRESCHOOL
FACILITY NUMBER: 426207285
VISIT DATE: 10/28/2019
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Site Supervisor reported that there are no children who require Incidental Medical Services enrolled at this time. This facility provides Incidental Medical Services – IMS. An IMS plan was submitted to the Department on 3/9/18. 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: www.ada.gov/childqanda.htm

Site Supervisor reported that the “Effects of Lead Exposure” brochure is distributed to all families at time of enrollment. Site Supervisor was advised to review Quarterly Updates and Provider Information Notices (PINs) which can be accessed on-line at www.ccld.ca.gov.



In areas evaluated, no deficiencies cited.

LPA observed Notice of Site Visit posted.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2019
LIC809 (FAS) - (06/04)
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