426213026-8-22-2022-17-CC-EBAY-CHJUTW-20220822155237

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426213026
Report Date: 08/22/2022
Date Signed: 08/22/2022 03:53:30 PM

Document Has Been Signed on 08/22/2022 03:53 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 - COLLEGE STREET CENTER		FACILITY NUMBER:	426213026
ADMINISTRATOR:	SANDY HILLE		FACILITY TYPE:	850
ADDRESS:	648 NORTH G STREET		TELEPHONE:	(805) 740-4555
CITY:	LOMPOC	STATE: CA	ZIP CODE:	93436
CAPACITY:	20	CENSUS: 0	DATE:	08/22/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Sandy Hille		TIME COMPLETED:	04:15 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	On 8/22/22, at 1:45 PM Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required inspection the abovementioned Child Care Center (CCC). LPA met with Sandy Hille, Site Supervisor of the CCC and explained the purpose of the inspection. LPA, in the company of the Site Supervisor toured the interior and exterior of the CCC. The CCC is open from 7:55 AM to 4:30 PM, Tuesday - Friday. Children are at the CCC from 7:55 AM to 11:30 AM Tuesday - Friday. The facility is a half day CCC. LPA notes two staff members, in addition to the Site Supervisor are on site during the inspection. No children are present. The CCC consist of a great room which is partitioned into small theme centers (i.e. Art Area, Science, etc) and an outdoor play area. The CCC is clean and organized. Thee CCC has ventilation to afford for child care. LPA observed varied and age appropriate toys and furnishings throughout the CCC. LPA observed a carbon monoxide detector in the CCC which was tested at 2:15 PM and found to be are operable. The CCC's bathrooms, two in total, are in safe and sanitary operating condition. The CCC has an operable refrigerator in the CCC's kitchen area. LPA notes the kitchen area is excluded from care. The refrigerator contains food which is labeled and dated. The CCC provides children in care snacks and lunches. The CCC also has water for children inside the CCC and in the outside play area. Children consumed bottled water and water from the CCC's fountains. Site Supervisor is reminded of the need to have the CCC's water sources tested for lead containments. Disinfectants, cleaning solutions and medications are secure in the facility's kitchen area which is inaccessible to children in care. .LPA observed a menu posted as well as other licensing required notices near the facility's entry. LPA reviewed a sampling of parent sign in sheets. The information contains the children's arrival and exits along the the authorized representatives signature The outdoor play area is enclosed by wooden fencing. The fence's gates are secure and the footing in the outdoor area contains varied surfaces. LPA observed age appropriate toys/play equipment in the play area. The toys/play equipment are free of sharp, loose or pointed objects. There are two sheds in the area which (CONT. LIC 809-C)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2022

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: CAC - COLLEGE STREET CENTER	FACILITY NUMBER: 426213026
	VISIT DATE: 08/22/2022

NARRATIVE

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are secure and contains center supplies. The outdoor play area also has ample shade created by a shade sail. Site Supervisor is reminded to replace play equipment which degrades or is not in good repair. LPA observed no bodies of water on site.

Staff and children records are reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records. Staff records were reviewed and current with Pediatric First Aid/CPR and Mandated Reporter certifications. Site Supervisor is informed to keep training certifications current and renew certifications prior to expirations. LPA notes the last fire drill at the CCC occurred in May of 2022. Site Supervisor informed LPA no firearms or ammunition are on site.

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

Facility representative were 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 Site Supervisor Sandy Hille.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2022

LIC809 (FAS) - (06/04)

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