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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215785
Report Date: 12/03/2019
Date Signed: 12/04/2019 08:20:53 AM

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:
426215785
ADMINISTRATOR:VANNI RATTANTRAYFACILITY TYPE:
840
ADDRESS:1530 A. CYPRESS WAYTELEPHONE:
(805) 739-3666
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:24CENSUS: 0DATE:
12/03/2019
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Vanni RattanatrayTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Gigi Reyes conducted an announced PRE-LICENSING inspection of the center. LPA met with Director Ms. Vanni Rattanatray. LPA and Ms. Rattanatray toured the facility inside and out. School Age Program will be utilizing the conference room of Marian Extended Care on the following schedules; Christmas break, and Summer time. School age program will be open from Monday to Friday, 6:00 AM to 6:00 PM. Classroom is set up for a school age environment. Water dispenser will supply drinking water inside the classroom. The outdoor area is located at the back of Marian extended care building. Playground is enclosed with appropriate fence, individual water bottle supplies the drinking water for outdoor play area. There are nobodies of water observed. Director stated there are no guns nor ammunition in the center.

CPR and First Aid expires on 6/2021. Staff met the SB 792, immunization records are on file. Staff took the AB 1207 Mandated Reporter Training on 6/24/2018. Carbon Monoxide is present and functional. Fire Clearance was granted on 10/29/2019. Licensing Required forms will be posted in the prominent location inside the classroom. LPA measured the classroom and outside activity space. Indoor and Outdoor square footage exceeds the requirement for school age children. There are 2 bathrooms with one toilet and one sink in each bathroom dedicated for day care children.

Continued on 809 C

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

DATE: 12/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019
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: 426215785
VISIT DATE: 12/03/2019
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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

License for School Age Program is granted today, 12/3/2019.

LPA observed 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: 12/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019
LIC809 (FAS) - (06/04)
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