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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426212011
Report Date: 07/22/2022
Date Signed: 07/22/2022 04:26:35 PM


Document Has Been Signed on 07/22/2022 04:26 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:COTTAGE HEALTH SYSTEM'S CHILD CARE CENTERFACILITY NUMBER:
426212011
ADMINISTRATOR:YUKIKO IRIEFACILITY TYPE:
850
ADDRESS:2205 CASTILLO ST.TELEPHONE:
(805) 879-8580
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY:50CENSUS: 30DATE:
07/22/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:46 PM
MET WITH:Yukiko IrieTIME COMPLETED:
04:30 PM
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On July 22, 2022, at 1:46 PM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced 1 Year Required Inspection and met with Director Ms. Yukiko Irie. LPA explained the purpose of the inspection. Prior to inspection LPA asked pre screening questions related to COVID -19 and Director's responses indicate there are no COVID-19 exposure on site. This is a combination Infant and Preschool Programs. The Child Care Center (CCC) operates Monday to Friday from 6:30 AM to 5:30 PM.

LPA in the company of Ms.Irie toured the Child Care Center inside and out. There were 30 children and 9 Staff present. Three (3) classrooms are being used by day care children. The classrooms have age appropriate toys/furnishings and there are attached bathrooms in each classroom. The posted menu was reviewed. LPA did not observe any toxins/hazardous items accessible to children. The play structure has adequate cushioning material. The outdoor areas have shade and age appropriate toys/equipment. It was noted that outdoor space is enclosed with 7ft fence. Drinking water is available both inside and outside.

Center uses the electronic sign-in/out sheet for each child which was found in compliance. A sampling of children and staff records were reviewed. Staff qualifications and requirements were reviewed and verified. Teachers present have current Pediatric First Aid/CPR certificates that expire on 10/2022 LPA verified SB 792 Child Care Adult Immunization record and tuberculosis requirements. All staff members renewed the Mandated Reporter Training which expires on 6/10/2024

Cont. on LIC 809 C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:
DATE: 07/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/22/2022
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: COTTAGE HEALTH SYSTEM'S CHILD CARE CENTER
FACILITY NUMBER: 426212011
VISIT DATE: 07/22/2022
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No deficiencies were cited during today's visit.

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.

Director 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.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Ms. Yukiko Irie
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2022
LIC809 (FAS) - (06/04)
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