426211744-12-16-2021-17-CC-EBAY-C9RSFK-20211216125027

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426211744
Report Date: 12/16/2021
Date Signed: 12/16/2021 12:50:36 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:	CAC - WESTGATE CENTER		FACILITY NUMBER:	426211744
ADMINISTRATOR:	ADRIANA RODRIGUEZ		FACILITY TYPE:	850
ADDRESS:	1240 W. BETHEL LN. #1A		TELEPHONE:	(805) 347-8400
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY:	72	CENSUS:	DATE:	12/16/2021
TYPE OF VISIT:	Case Management - Annual Continuation	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Adriana Rodriguez		TIME COMPLETED:	12:30 PM

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On 12/16/21, at 8:45 AM , Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Case Management Inspection the abovementioned Child Care Center (CCC). LPA notes the inspection is a continuation of the One Year Required inspection begun on 12/15/21. The LPA met with Adriana Rodriguez, Site Supervisor of the CCC and explained the purpose of the inspection. LPA notes 22 children are on site along with 10 teachers.

LPA completed the staff interview with the Site Supervisor and reviewed children and staff files/records.The children’s records were complete and found to contain emergency contact information as well as medical assessments. LPA reviewed sleep logs of children's sleep ages 18 months to 24 months. Staff records were reviewed and contained pediatric CPR and First Aid certifications as well as Mandated Report certifications. Site Supervisor informed LPA no firearm or ammunition is stored on the premises.

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 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: http://www.ada.gov/childqanda.htm

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with Facility representative and discussed the Child Care Licensing (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: 12/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021

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: CAC - WESTGATE CENTER	FACILITY NUMBER: 426211744
	VISIT DATE: 12/16/2021

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Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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 Adriana Rodriguez.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021

LIC809 (FAS) - (06/04)

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