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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426214057
Report Date: 02/08/2022
Date Signed: 02/08/2022 02:50:56 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: 11DATE:
02/08/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Vanni RattanatrayTIME COMPLETED:
03:00 PM
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On February 8, 2022 at 1:20 PM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced Case Management – COVID-19 inspection and met with, Vanni Rattanatray, Director of the facility. LPA informed Director of the purpose for the inspection and completed a COVID-19 pre-screening questions prior to the commencement of the inspection. Prior to LPA entering the facility, Director conducted temperature check and questionnaire to LPA. LPA in the company of the Director conduct a tour of the interior and exterior of the facility. At the time of this inspection, there were eleven (11) infants being cared by three (3) teaching staff and two (2) teaching aides.

This inspection is a follow-up on COVID-19 outbreaks reported by facility staff to CCL on 1/25/22. Director stated that positive individuals staff members who tested positive during the facility winter break closure. Director communicated that Public Health closed the case because the facility did not have an exposure due to facility being closed for break. CCL provided a Tele - Rapid Assistance Support Team (RAST) inspection on 5/29/20 by LPA Elvin Baddley, where LPA provided COVID-19 resources, current Childcare Industry Guidance, and a COVID-19 self-assessment guide to the facility.

LPA observed that all sign in and sing out sheets are located in the entrance of the facility. LPA observed pre-screening process, hand sanitizer and thermometer is readily availble to screen individuals prior to entering the facility. LPA observed all teaching staff in the facility had face masks on during the inspection. Children were observed to be napping and therefore not required to have a face mask on during this time. LPA observed plenty of COVID-19 posters posted by the entrance of the facility for parents and also in the classroom for staff and children. LPA observed that all classrooms have disinfecting solutions out of the reach of children but easily available for staff. LPA observed the facility has face masks accessible in case staff or children need an extra mask. The infant room has a tube where mouth toys are placed for disinfecting.

CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: 02/08/2022
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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. LPA discussed COVID-19 Vaccines, Testing, Face coverings, Essential Protective Equipment and Supplies, Physical Distancing, Ventilation, Isolation for Illness, Cleaning and Disinfection, Handwashing, Food Service and Meal Times, How to Respond to Exposures or Outbreaks, and Resilience Tips during the Pandemic.

Director informed LPA that the facility has its own COVID-19 team. The COVID-19 team is responsible to monitor and oversee all the positive cases in the facility. Once an individual has been identified as positive, it is the Director’s responsibility to notify the COVID-19 team and then the COVID-19 team screens and provides guidance to the Director. Director clarified that only the COVID-19 team can clear an individual to return to the facility. COVID-19 team and Director will follow up with Santa Barbara County Public Health office.

LPA reviewed that facility maintains a current Covid-19 Child Care Program Self-Assessment Guide/Mitigation plan. LPA also provided links to the following resources:

- Official Public Health and Child Care Guidance for COVID-19 – Updated 1/26/2022.
- 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 the Director, Vanni Rattanatray.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2