426216163-9-3-2021-17-CC-FVEZ-C6HR6A-20210903124427

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426216163
Report Date: 09/03/2021
Date Signed: 09/03/2021 12:44:32 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:	COMMUNIFY LITTLE VILLAGE INFANT CENTER		FACILITY NUMBER:	426216163
ADMINISTRATOR:	LORRAINE NEENAN		FACILITY TYPE:	830
ADDRESS:	219 W. CHAPEL		TELEPHONE:	(805) 922-2243
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	4	CENSUS: 0	DATE:	09/03/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Kim Eichert		TIME COMPLETED:	12:50 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 09/03/2021 at 9:10 AM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an announced Pre-licensing inspection of Communify Little Village Infant Center . Prior to entering the facility, LPA conducted COVID-19 pre-screening questionnaire and based on Program Manager responses it was determined the facility is safe and free of any COVID-19 exposures. LPA met with Kim Eichert, Administrator of the facility and Maria Ruiz, Site supervisor of the facility and explained the reason for the inspection. At the time of the inspection, no children are present. This facility is an infant/toddler Child Care Center (CCC). This facility also has a current Preschool-Toddler Option Program. The Program Manager informed LPA the CCC will operate Monday - Friday from 7:00 AM - 5:15 PM. LPA, in company of the Program Manager, toured and measured the interior and exterior of the CCC. The CCC is made of small front patio area, daycare room, nap room, restroom for diaper changing needs and small front yard. Daycare room and nap room is equipped with age appropriate furnishings and toys. LPA observed a combination carbon monoxide and smoke detector installed in the ceiling of the day care room. Detector was tested at 9:52 AM, during inspection and was found to be operable. The CCC has one room that is designated for nap/sleep. LPA observed a total of four (4) cots in the nap room and Program Manager stated that two (2) cribs have been ordered and pending delivery. LPA observed individual cubbies near the entry of the facility which account for the storage of children's personal items. The CCC also has a kitchen on site The kitchen contains an operable refrigerator to store the food at the CCC. Program Manager confirmed that breast milk brought by individual families will be labeled and stored in the refrigerator. The CCC will provided formula and food to older infants in the program. The changing room has sink and wall diaper changing table within arms length. The CCC has a total of one (1) sink and one (1) potty training chair available for children in care. CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2021

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: COMMUNIFY LITTLE VILLAGE INFANT CENTER	FACILITY NUMBER: 426216163
	VISIT DATE: 09/03/2021

NARRATIVE

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The outdoor play area is located in the front of the CCC. Program Manager stated that gate will be added to ensure individuals can not walk into the CCC play area. Program Manager will also be adding another gate to block off access to the side where trash cans are located. Program Manger stated that shading will be added to the outdoor play area. Front yard consist of grassy area and concrete. LPA observed no bodies of water on site.

LPA reviewed organizational, financial and administrative documentation. All documents are current, complete and in order. A fire inspection was completed at the CCC's by Santa Maria Fire Department on 08/19/21. Clearance was grant the same day. Program Manager stated there are no firearms or ammunition on site.

Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. This facility is planning on providing medication when needed. 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

LPA and Program Manager reviewed new safe sleep regulations. LPA provided a copy of the regulation and LIC 9227 Individual Infant Sleep Plan. LPA reviewed and discussed COVID-19 guidance and mitigation plan. LPA also reminded Program Manager to continue monitoring the CCLD website at www.ccld.ca.gov for COVID- 19 updates and guidance. Further, LPA reminded Program Manager the responsibility to know the CCC regulations which can also be accessed online at the aforementioned email site noted.

The issuance of this license is pending the following items:
1.) When cribs arrive, LPA needs to ensure that cribs meet new crib standards.
2.) Set up of front outdoor area needs to be set up to ensure no street access. .

An exit interview was conducted with Program Manager, Kim Eichert and Maria Ruiz, Site Supervisor. Notice of Site Visit (LIC 9213) was provided.

The Notice of Site Visit form shall be posted for 30 consecutive days at the CCC. Failure to maintain posting as required may result in a $100.00 Civil Penalty.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2021

LIC809 (FAS) - (06/04)

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