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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430709132
Report Date: 06/21/2021
Date Signed: 06/21/2021 04:40:51 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:MONTECITO PRESCHOOLFACILITY NUMBER:
430709132
ADMINISTRATOR:ERIN MOBLEYFACILITY TYPE:
850
ADDRESS:1468 GRANT ROADTELEPHONE:
(650) 968-5957
CITY:LOS ALTOSSTATE: CAZIP CODE:
94024
CAPACITY:91CENSUS: 0DATE:
06/21/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:47 PM
MET WITH:Erin MobleyTIME COMPLETED:
04:58 PM
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Licensing Program Analyst (LPA) James Sampair conducted an unannounced random annual site inspection of this facility at 1:47PM. Upon arrival, LPA met with Administrator Erin Mobley. Ms. Mobley directed LPA Sampair through a tour of all areas of the facility inside and outside. This visit occurred on a day between sessions at the facility, so 0 children and 0 teachers were present.

The furnishings and equipment are age-appropriate and free of broken or sharp pieces. Counters and surfaces, including floors, are free of toxins. There are no hazardous items/toxins observed that would be accessible to children in care. Napping linens are stored separately for each child and sent home to be cleaned each week. The children bring their own lunches and the facility provides them with snacks in the morning and afternoon. Children's medications are stored in emergency backpacks labelled for each child and kept out of the reach of the children.

The outdoor play areas are fully fenced with age-appropriate climbing equipment and slides in the play area that are securely anchored with cushioning under and around the structures. There are no pools or other bodies of water accessible to children. There are fully charged fire extinguishers in each of the classrooms and the facility has centralized fire alarm and carbon monoxide system.

Per Ms. Mobley, there are no firearms present or stored on the premises. 6 children's files were reviewed and they were complete. 4 staff records were reviewed and they were complete. More than one staff member present has current CPR/First Aid certification. All required postings were present.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2021
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: MONTECITO PRESCHOOL
FACILITY NUMBER: 430709132
VISIT DATE: 06/21/2021
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This facility provides Individual Medical Services (IMS). LPA reviewed storage of medication, equipment, and supplies, and they were found to be handled in accordance with regulations. For IMS information, see Evaluator Manual-Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information was provided: US Department of Justice (USDOJ) toll-free Americans with Disabilities Act (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 Staff are encouraged to visit www.ccld.ca.gov for licensing updates and forms. Contact ChildCareAdvocatesprogram@dss.ca.gov to sign up for quarterly updates. Staff are also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com. Facility administrator was provided with CDSS Effects of Lead Exposure Informational and lead testing requirements were discussed.

No deficiency cited during today’s visit. The appeals rights and a notice of site visit were provided that is to be posted for 30 days. A copy of this report was provided and is to be kept in the facility records for a period of three years.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2021
LIC809 (FAS) - (06/04)
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