444400156-4-4-2023-07-CC-ELAS-CQKL6Q-20230404082903

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444400156
Report Date: 04/03/2023
Date Signed: 04/04/2023 08:29:12 AM

Document Has Been Signed on 04/04/2023 08:29 AM - 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	CABRILLO COLLEGE CHILDRENS/INFANT CENTER		FACILITY NUMBER:	444400156
ADMINISTRATOR:	TRICIA PASTOR CROSS		FACILITY TYPE:	830
ADDRESS:	6500 SOQUEL DRIVE		TELEPHONE:	(831) 479-6352
CITY:	APTOS	STATE: CA	ZIP CODE:	95003
CAPACITY:	20	CENSUS: 0	DATE:	04/03/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:25 PM
MET WITH:	Tricia Pastor Cross		TIME COMPLETED:	04:35 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	Licensing Program Analysts (LPA), Elizabeth Larios, met with Director, Tricia Pastor Cross, for an unannounced Required - 1 Year inspection. Note: Facility is located in Cabrillo College campus in building 1500. LPA toured the facility both indoor and outdoor areas during today's inspection. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), menus, and Activity Schedule. Days and hours of operation are Monday through Friday 8:30 AM to 3:00 PM. The facility is licensed to serve a maximum of eight (8) children ages birth to two (2) years in infant room and twelve (12) toddlers. Ages eighteen (18) to thirty (30) months in toddler room. LPA observed that the facility is clean, safe, sanitary, and in good repair for children, staff, and visitors. The facility has adequate ventilation, including central air conditioning/heating. Staff state that the facility has a custodian that cleans the facility Monday through Friday. Director understands that the facility must be kept free of flies and other insects & rodents. LPA observed that all furniture and equipment is in good condition and safe for the children. The infant changing table has raised sides that are at least 3 inches in height. The infant changing table has a vinyl changing pad that is at least 1 inch think and in good condition. Napping equipment is appropriate. Drinking water is readily available for the children and in the outdoor playground via water bottles. Staff and children's bathrooms are clean, sanitary, and operable. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed. Director states that there are no weapons or firearms on the premises. The facility has functioning smoke and carbon monoxide detectors in the facility. The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. All food and beverages that require refrigeration are stored in covered containers at 45 degrees F or less. The facility provides snacks and breakfast only. The facility has trash cans with tight fitting lids for solid waste. Cleaning supplies are inaccessible to the children. There are no poisons at the facility. LPA observed a complete First Aid kit in the facility. Director states that the facility does not administer any medications at this time. Director understands that smoking is not allowed on the facility premises.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth Larios	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: CABRILLO COLLEGE CHILDRENS/INFANT CENTER	FACILITY NUMBER: 444400156
	VISIT DATE: 04/03/2023

NARRATIVE

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The playground areas (Play Yards 1 & 2) utilized by children are surrounded by appropriate fencing and the outdoor surfaces are safe for the children. LPA observed that the outdoor equipment is age appropriate. There is sufficient resilient materials in the playground area. Shade is provided by building overhang. LPA did not observe any bodies of water. Director states that the facility does not provide transportation.

No deficiencies cited during todays inspection, exit interview conducted with Director, Tricia Pastor Cross and a copy of this report was provided.

The annual inspection will be continued on a later date due to time constraint.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth Larios	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023

LIC809 (FAS) - (06/04)

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