426211744-7-27-2022-17-CC-MJIZ-CGR2SE-20220727173900

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426211744
Report Date: 07/27/2022
Date Signed: 07/27/2022 05:39:11 PM

Document Has Been Signed on 07/27/2022 05:39 PM - 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:	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: 27	DATE:	07/27/2022
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Adriana Rodriguez		TIME COMPLETED:	05:50 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	Prior to inspection LPA asked screening questions related to COVID -19 and SIte Supervisor's Responses responses indicate there are no COVID-19 exposure on site. On July 27, 2022 at 1:50pm, Licensing Program Analyst (LPA) Martina Jimenez conducted an unannounced Annual Required Inspection and met with Adriana Rodriguez, Site Supervisor, the purpose of the inspection was discussed with the Ms. Rodriguez. LPA and Ms. Rodriguez together toured inside and outside of the center. The preschool operates Monday - Friday, 6:30 AM - 5:00 PM. LPA reviewed the medication which is maintained in a locked box inaccessible to children. The classroom are clean, orderly. The appropriate documents including the menu were posted for review. The restrooms were observed to clean. The outdoor playground is enclosed with the wire fences. The walkway has a raised cement square approximately one inch from the other cement square steps in the walk way leading to the toddlers play area. The outside space has age appropriate toys and equipment. The sandbox does have an ample amount of sand. LPA observed gaps around the edging of the sandbox, as well as a large screw that is on the edge of the sandbox that is raised approximately one inch. The center has drinking water available for children inside and out. LPA reviewed current CPR and First Aid for all present staff. Sign in/sign out was reviewed and meets the regulation requirements. A sampling of children records were reviewed, and found to be complete. The staff records were reviewed and found to be complete. Site Supervisor and Staff qualifications were verified. Teachers present have current Pediatric First Aid/CPR certificates that expire on 8/16/2023. Staff has complete the Mandated Reporter Training required per AB 1207. LPA verified SB 792 Child Care Adult Immunization record and tuberculosis requirements. Continued on LIC 809C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022

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: 07/27/2022

NARRATIVE

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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

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email 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/process.

Site Supervisor 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.

Exit interview conducted and report was reviewed with the Site Supervisor, Ms. Rebecca Romero. There were no deficiencies cites at this time. LPAs observed the Site Supervisor post 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: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022

LIC809 (FAS) - (06/04)

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