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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215611
Report Date: 06/06/2023
Date Signed: 06/06/2023 04:20:19 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/06/2023 04:20 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:ISLA VISTA CHILDREN'S CENTERFACILITY NUMBER:
426215611
ADMINISTRATOR:SERINEH VARTANIFACILITY TYPE:
830
ADDRESS:701-H WEST CAMPUS POINT LANETELEPHONE:
(805) 968-0488
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY:12CENSUS: 3DATE:
06/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:09 PM
MET WITH:Serineh VartaniTIME COMPLETED:
04:22 PM
NARRATIVE
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On June 6th, 2023, at 3:09PM, Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced Annual/Random inspection. LPA met with facility Director Serineh Vartani and explained the purpose of the inspection. Director provided LPA a tour of the facility inside and out. The facility operates Monday – Friday from 8:00AM-5:00PM, including summer session. This is a combined center with a preschool program. At the time of the inspection there were three (3) children and two (2) staff present.

LPA observed required licensing documents mounted on the wall at the entrance of the facility. Facility uses the electronic application CareConnect for sign in and out purposes. The facility is currently utilizing one (1) classroom for care and supervision. Indoor activity space is physically separated from preschool program, and napping area is separated from the indoor activity space. At the time of the inspection, all children were under supervision by staff. LPA observed children to be given attention and comforted. LPA observed age-appropriate toys and equipment. LPA observed changing tables with sink readily accessible per regulation. Changing tables have padded service with vinyl / plastic covering which are cleaned after each use. LPAs observed cots for napping that are disinfected daily. LPA observed all cleaning compounds, disinfectants, sharps, combustibles, and tools to be elevated and inaccessible to children. Food and milk are stored in refrigerators which were functioning at the time of inspection. Menu is posted in prominent location, LPA reviewed a sampling of feeding plans, current 15-minute sleep logs, and were found to comply. First aid kits are available. Fire extinguisher was last serviced on 1/18/2023 and last emergency drill was conducted on 12/12/2022. LPA reminded director emergency drill are to be conducted and documented every six months. Per director, no firearms or ammunition are present on property.

Outdoor play area has ample shade for children, age-appropriate toys and equipment, soft surface, and no bodies of water are present.

Incidental Medical Services are currently not being provided at this time.

CONTINUED ON LIC809C

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:
DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/06/2023
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: ISLA VISTA CHILDREN'S CENTER
FACILITY NUMBER: 426215611
VISIT DATE: 06/06/2023
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A sampling of children and staff records were reviewed. Children’s files were current. Staff files were complete and current. Staff have required qualifications. Pediatric First Aid/CPR certificate expires 3/18/2025 and AB 1207 Mandated Reporter Training certificate expires 2/1/2024. LPAs verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements.

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

Director was 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.

LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Exit interview conducted, report reviewed with Director, copy provided. Technical assistance provided.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
LIC809 (FAS) - (06/04)
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