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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426212030
Report Date: 10/05/2022
Date Signed: 12/22/2023 09:41:41 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 12/22/2023 09:41 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 12/01/2023 11:57 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

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The purpose of this amendment is to update the administrator's name.

On October 5th, 2022 at 2:10PM Licensing Program Analyst (LPA) Rosie Breault conducted a Required Annual inspection. LPA met with Director Jacqueline McDonough and explained the purpose of the inspection. LPA asked Covid-19 screening questions and no exposure on site. LPA with director, conducted a tour of the facility inside and out. There were seventeen (17) children in care at the time of the inspection and five (5) staff. The center operates from 7:30AM to 5:00PM and is open Monday thru Friday.

Licensing required notices were posted prominently at the front entrance and inside the front office. Center uses a written sign-in sheet. The facility uses two classrooms, and two bathrooms three (3) urinals and two (2) sinks with ample hand washing supplies. Bathrooms and classrooms were observed to be clean and inaccessible of toxins. Cleaning compounds are inaccessible to children and are maintained in a locked cabinet. There is water inside and outside for the children to have access to. Children bring their own water bottles and facility provides filter water. Classrooms have age appropriate toys and furniture available for children. The facility provides cots for napping and linens are kept separate from one another. The facility provides food to children and LPA observed the posted menu. There is a functioning carbon monoxide and smoke detector that meets statutory requirement. The last fire drill was conducted on 10/4/2022. First aid kits are available in classroom, labeled and inaccessible to children. Facility provides incidental medical services. Medications were properly labeled, dated to current, paperwork present, locked, and stored inaccessible to children.

CONTINUED ON LIC809C

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:
DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/05/2022
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: STORYTELLER CHILDREN'S CENTER
FACILITY NUMBER: 426212030
VISIT DATE: 10/05/2022
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The playground side area currently is sectioned off due to construction inaccessible to children. The remaining section of play yard has an ample amount of shade, hand washing station available, and age appropriate toys/equipment. Children are also utilizing the front yard for play time. Both areas have perimeter fencings.

A sampling of children’s files was reviewed and found current. Staff records are maintained at 2115 State Street location and LPA to review there. At this time, director who will remain present today, CPR expires 3/12/2024.

Licensee 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.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s record. 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

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.

There were no deficiencies cited for today's inspection.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the director Jacqueline McDonough.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2022
LIC809 (FAS) - (06/04)
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