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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215064
Report Date: 07/21/2022
Date Signed: 07/21/2022 02:01:15 PM


Document Has Been Signed on 07/21/2022 02:01 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:SBCEO - YOUNG LEARNERS PRESCHOOLFACILITY NUMBER:
426215064
ADMINISTRATOR:JANELLE WILLISFACILITY TYPE:
850
ADDRESS:621 WEST NORTH AVE., ROOM 37TELEPHONE:
(805) 742-2229
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:25CENSUS: 0DATE:
07/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Victoria Zavala- Site Supervisor and Artesia Carlon-Program CoordinatorTIME COMPLETED:
01:00 PM
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On 7/21/22, at 11;00 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required inspection of the abovementioned Child Care Center (CCC). LPA met with Victoria Zavala, Site Supervisor of the CCC and Artesia Carlon, Program Coordinator of the CCC. LPA explained the purpose of the inspection to Site Supervisor and Program Coordinator. LPA, in the company of the Site Supervisor and Program Coordinator toured the interior and exterior of the CCC. The CCC consist of a single classroom and an outdoor play area on the grounds the La Canada Elementary School. The CCC's hours of operation are from 8:00 AM -11:00 AM and 12:00 PM - 3:00 PM, Monday - Friday. As noted the CCC is closed from 11:00 AM -12:00 PM. No children are on site during the inspection..

The classroom used for child care has storage space ("cubbies") for all children in care and age appropriate furnishings, toys and equipment. The CCC has an operable refrigerator in the CCC's Work Room which is inaccessible to children in care. The CCC provides snacks to children in care. LPA notes filtered drinking water is available for children inside and outside. Water fountains in the outdoor area are active, but are not used by children or school staff members. LPA informed Site Supervisor and Program Coordinator of the requirement to have CCC's water sources lead tested. LPA observed a menu posted at the CCC along with required notices and documents. The facility uses an electronic application to sign children in and out of the CCC. LPA reviewed CCC Sign In/Out information and notes all information reviewed was found to be completed appropriately, having the authorized parent's electronic signature as well as entry and exit times.

LPA observed a carbon monoxide detector on site which was tested at 11:34 AM and found to be operable. Disinfectants/cleaning solutions and medications are stored in elevated cabinets in the CCC's Work Room which is inaccessible to children in care. Sharps at the CCC are out of the reach of children in care and inaccessible.

The restrooms of the CCC are observed to be clean and void of toxins. Waste receptacles at the CCC are
(CONT.809-C)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2022
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: SBCEO - YOUNG LEARNERS PRESCHOOL
FACILITY NUMBER: 426215064
VISIT DATE: 07/21/2022
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observed to have tight fitting lids.

The outdoor playground area is enclosed by chain linked fencing and the entry/exit gates are secured. Furnishings, toys and equipment in the outdoor area is age appropriate. LPA observed one shed in the outdoor play area which contain CCC supplies and equipment. The play structures in the outdoor play area have adequate cushioning materials to absorb falls. Shade is provided by shade sails. Play structures are absent of sharp, pointed or loose parts. Site Supervisor and Program Coordinator are reminded to replace play equipment once the play equipment begins to degraded. No bodies of water were observed on site.

Staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records. Staff records were reviewed and contained current pediatric CPR and First Aid certifications (EMSA) along with Mandated Reporter certifications. Site Supervisor was reminded to keep training certifications current and updated prior to expirations. Site Supervisor and Program Coordinator notes no firearm or ammunition is stored on site. LPA notes the last fire/disaster drill in June of 2022 .

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 representatives 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 Facility representatives Victoria Zavala and Artesia Carlon, .
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
LIC809 (FAS) - (06/04)
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