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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426214057
Report Date: 12/30/2019
Date Signed: 12/30/2019 12:34:21 PM

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:CENTRAL COAST CHILDREN'S CENTERFACILITY NUMBER:
426214057
ADMINISTRATOR:VANNI RATTANATRAYFACILITY TYPE:
830
ADDRESS:1530 CYPRESS WAY # ATELEPHONE:
(805) 739-3666
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:16CENSUS: 8DATE:
12/30/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Diane MajewskiTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Annual Random inspection and met with Assistant Director, Diane Majewski. There were 8 infants and 5 staff present during the inspection. The center was toured inside and out. Infants are using 2 classrooms, separating the younger infants from the older ones.

The following was observed: Classrooms are adequately equipped with age and size appropriate furniture and equipment, pitcher and cups supply the drinking water inside and outside . The changing tables are observed to be an arm reach. Playground is enclosed by an appropriate fence. Outside is supplied with age and size appropriate equipment. An adequate amount of cushioning "play and form" turf is in place. Adequate shade is provided. Required forms are posted in the prominent location. Assistant Director stated there are no guns nor ammunition in the center. There are no bodies of water observed.

As part of this evaluation, Teachers files were reviewed, CPR and First Aid expires on 6/2021. Educational qualifications were verified. Teachers have complete record of immunization. AB 1207 Mandated Reporter Training was completed on 6/13/2018. Children's files were randomly reviewed. The infant's Needs/Services plans were reviewed. Carbon Monoxide detectors are present in each classroom.

Continued on 809 C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2019
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: CENTRAL COAST CHILDREN'S CENTER
FACILITY NUMBER: 426214057
VISIT DATE: 12/30/2019
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LPA discussed the proposed Safe Sleep Regulation and Best Practices, Effects of Lead Exposure, Child Care Providers Guide to New Crib Standards. Flyers were provided to Assistant Director.

Center is not providing Incidental Medical Services (IMS) 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

Assistant Director was reminded that it is the Center's responsibility to visit CCLD website for quarterly updates. www.ccld.ca.gov.

In the areas evaluated, no deficiencies were cited under California Code of Regulations Title 22 Division 12 and Health and Safety Code.

LPA observed Assistant Director posted the Notice of Site Visit.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2019
LIC809 (FAS) - (06/04)
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