426212011-1-12-2023-17-CC-MBRT-CMZP5U-20230112100118

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426212011
Report Date: 01/12/2023
Date Signed: 01/12/2023 10:01:22 AM

Document Has Been Signed on 01/12/2023 10:01 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:	COTTAGE HEALTH SYSTEM'S CHILD CARE CENTER		FACILITY NUMBER:	426212011
ADMINISTRATOR:	YUKIKO IRIE		FACILITY TYPE:	850
ADDRESS:	2205 CASTILLO ST.		TELEPHONE:	(805) 879-8580
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93105
CAPACITY:	50	CENSUS: 24	DATE:	01/12/2023
TYPE OF VISIT:	Case Management - COVID-19	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Yukiko Irie		TIME COMPLETED:	10:11 AM

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On January 12th, 2023, at 9:30AM Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced Case Management COVID - 19 inspection and met with director Yukiko Irie. LPA informed the purpose for the inspection and completed a COVID-19 pre-screening question prior to the commencement of the inspection and no Covid present on site. Director gave LPA a tour of the facility inside and out. At the time of the inspection there were seventeen (17) children, and six (6) teachers present.

This inspection is a follow-up on a COVID-19 outbreak reported by facility staff to Community Care Licensing (CCL) on 2/17/2022.

Upon entry to facility, LPA observed hand sanitizer, complimentary masks, informational signs, document requesting to wash hands, and an air filter. Per director, parents / authorized representatives complete a wellness check prior to child drop off via the ProCare App. Parents are to advise facility of any Covid related symptoms child may exhibit. Staff monitor children throughout the day for any potential symptoms, and facility offers an isolation area should a child show signs of illness. The facility currently utilizes three (3) classrooms for the preschool program. Each classroom has hand sanitizer pumps available for use and inaccessible to children, safety signs, air purifiers, ample ventilation, and hand washing stations. Children’s restrooms were observed to be tidy with ample soap and paper towels. LPA observed cubbies for children’s belongings, which are separate from one another. The facility offers filtered water and children bring their own water bottles and are individually labeled. The outdoor play yard provides hand washing sinks for children, and disinfectant solution is inaccessible to children. The facility provides a janitorial service that sanitizes and cleans the entirety of the facility every evening. Per director, no further Covid outbreaks have occurred since 12/20/2022.

CONTINUED ON LIC809C

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose Breault	TELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

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: 01/12/2023

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LPA discussed facility’s written plan for when a staff member or child tests positive for COVID-19 and developing a written communication plan with parents/guardians to share information and guidelines in their preferred language.When a child tests positive, facility provides a health alert via email to all families and staff with exposure dates, provides health care resource links for educational purposes. LPA discussed COVID-19 Vaccines, Testing, Face coverings, Essential Protective Equipment and Supplies, Physical Distancing, Ventilation, Isolation for Illness, Cleaning and Disinfection, Hand washing, Food Service and Mealtimes, How to Respond to Exposures or Outbreaks, and Resilience Tips during the Pandemic.

LPA reviewed that facility maintains a current Covid-19 Child Care Program Self-Assessment Guide/Mitigation plan.

There were no deficiencies cited during today's inspection.

Exit interview conducted with director, report was reviewed, and copy provided.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose Breault	TELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

LIC809 (FAS) - (06/04)

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