426213750-9-14-2022-17-CC-MBRT-CJ9Q8U-20220914115719

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426213750
Report Date: 09/14/2022
Date Signed: 09/14/2022 11:57:23 AM

Document Has Been Signed on 09/14/2022 11:57 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:	LA PURISIMA CONCEPCION LITTLE SAINTS PRESCHOOL		FACILITY NUMBER:	426213750
ADMINISTRATOR:	TERESE MUNOZ-HILL		FACILITY TYPE:	850
ADDRESS:	219 W. OLIVE AVENUE		TELEPHONE:	(805) 736-6210
CITY:	LOMPOC	STATE: CA	ZIP CODE:	93436
CAPACITY:	87	CENSUS: 73	DATE:	09/14/2022
TYPE OF VISIT:	Case Management - COVID-19	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Terese Munoz- Hil		TIME COMPLETED:	12:20 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 9/14/22, at 10:45 AM, Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced Case Management – COVID-19 inspection and met with Terese Munoz- Hill, site supervisor, of the above-mentioned Child Care Center (CCC). LPA informed site supervisor of the purpose for the inspection and completed a COVID-19 pre-screening questions prior to the commencement of the inspection. LPA, along with site supervisor toured the facility, inside and outside. There were 73 children in care and 11 staff. This inspection is a follow-up on a COVID-19 outbreak reported by facility to Community Care Licensing Division (CCLD) on 8/28/22. CCLD provided a Tele - Rapid Assistance Support Team (RAST) inspection on 11/12/2020, where CCLD provided COVID-19 resources, current Childcare Industry Guidance, and a COVID-19 self-assessment guide to the facility. LPA observed signs indicating masks are required upon entry and latest Covid-19 health protocol. The CCC has disinfectants and cleaning compounds throughout the facility which are readily available to staff members but inaccessible to children in care. Bathrooms have signs, ample, safe hand washing implements, and sinks. Health and wellness checks of children entering the CCC gate are taken, and staff members ask parents entering the CCC COVID related pre screening questions. Children have individual sign in and out sheets with pens for one time use then sanitized. Each classroom has ample ventilation, cubbies are outside of the classrooms with children’s personal items separated. All classrooms have quarantine protocol and isolated areas for children who develop symptoms during school while parents are notified. Covid-19 information is shared to all families via BrightWheel App and email. 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: 09/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022

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: LA PURISIMA CONCEPCION LITTLE SAINTS PRESCHOOL	FACILITY NUMBER: 426213750
	VISIT DATE: 09/14/2022

NARRATIVE

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LPA discussed facility’s written plan 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. 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 Meal Times, How to Respond to Exposures or Outbreaks, and Resilience Tips during the pandemic
Pandemic.

LPA reviewed that facility maintains a current COVID-19 Child Care Program Self-Assessment Guide/Mitigation plan. LPA also provided the following resources:
- Official Public Health and Child Care Guidance for COVID-19.
- COVID-19 Child Care Resources:
https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/child-care-licensing/covid-19-child-care-resources

There were no deficiencies cited during today's inspection.
A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Exit interview conducted and report was reviewed with Terese Munoz- Hill, Site Supervisor.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose Breault	TELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022

LIC809 (FAS) - (06/04)

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