401711479-8-23-2021-17-CC-EBAY-C66SM3-20210823135917

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 401711479
Report Date: 08/23/2021
Date Signed: 08/23/2021 01:59:27 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:	GROVER BEACH EARLY LEARNING CENTER		FACILITY NUMBER:	401711479
ADMINISTRATOR:	NANCY NORTON		FACILITY TYPE:	850
ADDRESS:	365 S. TENTH ST.		TELEPHONE:	(804) 479-0087
CITY:	GROVER BEACH	STATE: CA	ZIP CODE:	93433
CAPACITY:	24	CENSUS: 0	DATE:	08/23/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Mayra Botello.		TIME COMPLETED:	02:00 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 8/23/21, at 12:15 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Annual inspection of the abovementioned Child Care Center (CCC). LPA met with Mayra Botello, Site Supervisor of the CCC and explained the purpose of the inspection. LPA, in the company of the Site Supervisor, toured the interior and exterior of the CCC. The CCC is located in a portable classroom on the grounds of Grover Beach Elementary School. The CCC operates from 8:15 AM to 11:15 AM, Monday thru Friday. LPA observed no children in care during the inspection. Two teacher are present (cleared and associated). The CCC classroom has age appropriate equipment and furnishings available to children in care. The bathroom used by the children is in clean and sanitary operating condition. LPA observed an operable refrigerator in the classroom and notes the CCC provides morning snacks for the children. Disinfectants and cleaning solutions are elevated in the corner of the room and beyond the reach of children in care. Site Supervisor informed LPA no medication is on site, however if medication were present, medications would be secured in an elevated cabinet in the classroom. LPA observed CCC Sign In/Out forms in an expandable file folder. LPA also observed required licensing notices and documents atop a cabinet near the entry of the classroom.. The CCC's outdoor playground area are enclosed by chain linked fencing. The footing in the playground area is comprised of concrete, grass and sand. The fence’s entry/exit gates are secured. LPA observed age appropriate toys/play equipment in the play areas. LPA also observed secure shed in the outdoor playground area which contained school supplies and equipment. The toys/play equipment are free of sharp, loose or pointed objects. The play structures in the playground area have adequate cushioning materials in the form of sand to absorb falls. No bodies of water are observed. (CONT. 809-C)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

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: GROVER BEACH EARLY LEARNING CENTER	FACILITY NUMBER: 401711479
	VISIT DATE: 08/23/2021

NARRATIVE

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on site. There is available drinking water (bottle water) for children both inside the classroom and outside in the play area. LPA notes the outdoor play area is shared with the Elementary school's SDC Pre K classroom. The Site Supervisor informed LPA the CCC's children play in the play area at times different that the elementary school students.

A sampling of staff and children's records are reviewed. The children’s records are complete and found to contain emergency contact information. Staff records are reviewed and contained current pediatric CPR and First Aid (EMSA approved) certifications along with Mandated Reporter training certifications. Site Supervisor notes no firearm or ammunition is stored on site.

This CCC provides Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 COVID 19 guidance and best practices with the Site Supervisor. Site Supervisor is reminded that it is Site Supervisor's responsibility to know the regulations for a CCC which can be accessed on-line at www.ccld.ca.gov.

In areas evaluated, there were no deficiencies cited at this time.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY .

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

LIC809 (FAS) - (06/04)

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