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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215900
Report Date: 01/03/2025
Date Signed: 01/03/2025 01:12:03 PM

Document Has Been Signed on 01/03/2025 01:12 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:TRINITY LUTHERAN PRESCHOOLFACILITY NUMBER:
566215900
ADMINISTRATOR/
DIRECTOR:		LAUNER KERRIFACILITY TYPE:
830
ADDRESS:2949 ALAMO STREETTELEPHONE:
(805) 526-5975
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 15DATE:
01/03/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Kerri LaunerTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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On 1/3/25, at 9:40 AM, Licensing Program Analyst (LPA) Shane Loftus conducted an unannounced Required 3 - Year inspection of the Child Care Center (CCC). LPA met with Kerri Launer, Director of the CCC and explained the purpose of the inspection. LPA, in the company of the Director toured the interior and exterior of the CCC. The CCC operates from 7:00 AM – 6:00 PM, Monday through Friday. The infant program uses two classrooms and is located on the premises of Trinity Lutheran Church and Good Shepherd Elementary School. LPA observed 15 children in care along with 6 teachers (associated and cleared). The CCC is a combined center with a preschool program/license.

The CCC is clean and organized. LPA observed age-appropriate toys and furnishings throughout the CCC. The CCC has ample cribs along with napping cots for children in care with various levels of mobility. At 10:15 AM, LPA notes that the CCC does not have an operable carbon monoxide detector.

The CCC has an operable refrigerator in both classrooms. The refrigerator contains the children's food and formula. LPA observed that the food and formula was labeled and dated. Disinfectants, cleaning solutions, and sharps are located in areas accessible to staff, but inaccessible to children in care. The CCC's medications, when needed, are secured in a locked box on top of the refrigerators in the classrooms. Required licensing forms and documents are posted in the CCC’s main office. The classrooms have age-appropriate toys and furnishings. as well as changing tables in arms reach of sinks. There is water available to children in care both inside and outside the CCC.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). Continued on 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE: DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 01/03/2025 01:12 PM - It Cannot Be Edited


Created By: Shane Loftus On 01/03/2025 at 12:14 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: TRINITY LUTHERAN PRESCHOOL
FACILITY NUMBER: 566215900

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/03/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.954
Licensure Requirements
Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in that the Child Care Center does not have an operational carbon monoxide detector, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/17/2025
Plan of Correction
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Licensee will submit proof to CCLD (shane.loftus@dss.ca.gov) of an operational carbon monoxide detector installed in the classrooms of the Child Care Center by 1/17/25.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that staff members do not have current Mandated Reporter (AB1207) training, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/17/2025
Plan of Correction
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Licensee will submit proof to CCLD (shane.loftus@dss.ca.gov) of current Mandated Reporter (AB1207) for Child Care Center staff by 1/17/25.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Shane Loftus
LICENSING EVALUATOR SIGNATURE:
DATE: 01/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/03/2025


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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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: TRINITY LUTHERAN PRESCHOOL
FACILITY NUMBER: 566215900
VISIT DATE: 01/03/2025
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The CCC's infant outdoor playground is enclosed by wrought iron fencing and is separate from the preschool play area. The fence’s entry/exit gate is secured. The footing in the area is varied. LPA observed age-appropriate toys/play equipment in the play area which are in suitable condition. The play structures in the playground area has adequate cushioning materials to absorb falls.LPAs also observed ample shape provided by shad sails and trees in the play area. No bodies of water were observed on site. Waste receptacles with tight fitting covers were observed in the CCC.


A sampling of staff and children's records were reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records, amongst other required licensing forms. LPA reviewed a sampling of Individual Needs/Services, Sleep Plans and a log capturing sleep checks in 15-minute intervals. A sampling of the staff records was reviewed. At 11:00 AM, LPA notes the staff’s files lack current Mandated Reporter (AB1207) training. The remaining documents are current including teaching qualifications and other required licensing documents. Director noted no firearms or ammunition is stored on site.

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

LPA discussed the safe sleep regulations with Director 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 for additional resource. LPAs also informed Director 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.

Continued on 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025
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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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: TRINITY LUTHERAN PRESCHOOL
FACILITY NUMBER: 566215900
VISIT DATE: 01/03/2025
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Facility Representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Facility representative 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.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Type B deficiencies are being cited based on LPA records review and observations pursuant to Title 22 of the CA Code of Regulations (refer to LIC 809-D). Licensee was provided a copy of their appeal rights.

A Notice of Site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director, Kerri Launer.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025
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