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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426214057
Report Date: 09/14/2023
Date Signed: 09/14/2023 04:52:51 PM


Document Has Been Signed on 09/14/2023 04:52 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: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: 13DATE:
09/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Vanni RattanatrayTIME COMPLETED:
04:30 PM
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On 9/14/23, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced One Year Required Inspection of the Child Care Center (CCC). LPA met with Vanni Rattanatray, Director of the CCC and explained the purpose of the inspection. LPA, in the company of the Director toured the interior and exterior of the CCC. The center operates from 6:00 AM to 6:00 PM, Monday - Friday. The CCC is a combination, infant, preschool, and school-age center and is on the grounds of Marian Regional Medical Center. The CCC infant license is comprised of two classrooms (Infants class and Toddler class). At the time of the inspection, 13 children are present, along with 6 teachers (cleared and associated) providing care and supervision.

LPA observed the CCC to be organized. The CCC has ventilation and heating to afford for child in care. LPA observed age appropriate toys and furnishings throughout the CCC. The CCC has an abundance of cribs and cots for children in care with various levels of mobility. LPA observed changing tables on site within arms reach of sinks.

LPA observed carbon monoxide detectors in the toddler classroom. The detector in the Toddler classroom was not tested due to infants and toddlers in various stages of napping/rest. Director informed LPA that the hospital checks all detector every other month to ensure they are operable. LPA observed refrigerators in each room which contains labeled and dated infant bottles. Director informed LPA CCC provides morning and afternoon snack for children in care who are able to consume snacks. Enrolled families are asked to provide lunch for all children that consume solid food. The CCC provides filtered water by means of water pitchers with individual water cups. Director informed LPA the CCC's water sources has been tested for lead containment levels. LPA observed licensing required notices and forms at the entry of the CCC. Medication, sharps and cleaning solutions are secure in locations inaccessible to children in care.

CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:
DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2023
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: 09/14/2023
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The CCC manually signs children in and out of the CCC. LPA reviewed the Sign In/Out sheet which contains arrival and departure times of children as well as signatures of authorized representatives. All children present during today’s inspection were found to be properly singed in.

The CCC's play areas have varied footing and are enclosed. Gates leading to the play areas are secure. LPA observed age appropriate toys/play equipment in the play areas. The toys/play equipment are free of sharp, loose or pointed objects. Director was reminded to replace toy and play equipment when such begins to degrade or is not in good repair. LPA observed no bodies of water were observed on site.

A sampling of staff and children's records were reviewed. The children’s records were complete and found to contain emergency contact information, immunization records and electronic logs documenting 15 minute sleep checks, among other licensing required documents. LPA reviewed Individual Sleep plans which were completed appropriately. Staff records were reviewed and current with Pediatric First Aid/CPR (EMSA Approved) and Mandated Reporter Training certifications, as well as documentation supporting qualifications and experience. Licensee informed LPA no firearms are on site.

This facility provides Incidental Medical Services – IMS. At the moment none of the children enrolled in the infant license is taking any mediation. Director reported storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records are in the CCC office. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.



Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
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: 09/14/2023
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Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. Exit interview conducted and report was reviewed with the Director, Vanni Rattanatray.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3