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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 401711479
Report Date: 12/17/2024
Date Signed: 12/17/2024 03:48:39 PM

Document Has Been Signed on 12/17/2024 03:48 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:GROVER BEACH EARLY LEARNING CENTERFACILITY NUMBER:
401711479
ADMINISTRATOR/
DIRECTOR:
LAUREN THRONEFACILITY TYPE:
850
ADDRESS:365 S. TENTH ST.TELEPHONE:
(805) 479-8087
CITY:GROVER BEACHSTATE: CAZIP CODE:
93433
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 4DATE:
12/17/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Erika MaganaTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On 12/17/24, at 2:45 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Annual/Random Inspection of the abovementioned Child Care Center (CCC). LPA met with Erika Magana, Site Supervisor of the CCC and explained the purpose and nature 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 (3B) on the grounds of Grover Beach Elementary School. The CCC operates from 8:15 AM to 11:15 AM (AM Program) and 12:15 PM to 3:15 PM (PM Program), Monday thru Friday. LPA observed four children during the inspection along with three teachers (cleared and associated) providing care and supervision.

The classroom of the CCC is clean and orderly. The classroom has age appropriate equipment and furnishings available to children in care. The bathrooms used by the children are in clean and sanitary operating condition. The bathrooms are outside the classroom. Staff members escort the children to and from the restroom during hours of operation. LPA observed an operable refrigerator in the classroom which contained foods and beverages consumed by children in care. The CCC provides breakfast as well as a morning and mid-day snack for the children. Children have access to water inside the CCC and outside in the play area. Children also bring individual water to the CCC. CCCs constructed before 1/1/20, to test their water (used for drinking and food preparation) for lead contamination before 1/1/23, and then every 5 years after the date of the first test. For CCC licenses issued after 7/1/22, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Disinfectants and cleaning solutions are elevated locations 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 secure box within a secure cabinet in the classroom. LPA observed CCC Sign In/Out forms near the entry of the classroom, in proximity to posted licensing forms and notices. LPA notes Sign In/Out forms contain the children’s arrivals and departures as well as the signature of the authorized representatives. The CCC has a carbon monoxide detector which was tested and found operable at 2:48 PM. The CCC's outdoor playground area is enclosed by chain linked fencing. The footing in the playground

(CONT. LIC 809-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2024
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: 12/17/2024
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has various surfaces. The fence’s entry/exit gates are secured. LPA observed age appropriate toys/play equipment in the play areas. LPA also observed three 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 and foam material to absorb falls. No bodies of water are observed on site. 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/staggered than the elementary school students.

A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information, among other required licensing documentation and forms. Staff records were reviewed. Staff records sampled were complete and found to contain First Aid/CPR certifications (EMSA approved) and Mandated Reporter Training certification, among other required licensing documentation and forms. LPA notes the last disaster drill at the facility occurred on 11/7/24. Site Supervisor informed LPA no firearms or ammunition are stored on site.

This facility 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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility representative was reminded that all adults 18 and over, including employees and volunteers,
as specified in HSC section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

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.
(CONT. LIC 809-C, Page 3)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
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: 12/17/2024
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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.

There were no deficiencies during today's inspections.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility representative Erika Magana
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC809 (FAS) - (06/04)
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