406206830-6-18-2024-17-CC-EBAY-D6CSX9-20240618141533

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406206830
Report Date: 06/18/2024
Date Signed: 06/18/2024 02:16:01 PM

Document Has Been Signed on 06/18/2024 02:16 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:	SAN LUIS OBISPO CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	406206830
ADMINISTRATOR/ DIRECTOR:	MICHELLE HOLM		FACILITY TYPE:	850
ADDRESS:	1720 BISHOP ST.		TELEPHONE:	(805) 544-0801
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93401
CAPACITY: 83	TOTAL ENROLLED CHILDREN: 83	CENSUS: 36	DATE:	06/18/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:00 AM
MET WITH:	Michelle Holm and Kali Coleck		TIME VISIT/ INSPECTION COMPLETED:	02:30 PM

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On 6/18/24, at 11:00 AM, Licensing Program Analysts (LPAs) Elvin Baddley and Joaquin Mendez conducted an unannounced Annual/Random Inspection the abovementioned Child Care Center (CCC). LPAs met with Michelle Holm, Director of the CCC, and Kali Coleck, Assistant Director of the CCC. LPAs explained the nature and purpose of the inspection. The LPAs, in the company of the Director and Assistant Director, toured the interior and exterior of the CCC. The CCC operates from 7:30 AM to 5:30 PM, Monday - Friday. The CCC uses 4 classrooms (Pre Kindergarten Classroom- ages 4 and above, Preschool Classroom- ages 3-4, Toddler Classroom ages 2-3 and a second Toddler -currently vacant/ converted staff room) for child care services. LPAs observed 36 children on site along with nine teachers (cleared and associated) providing care and supervision.

LPAs observed the classrooms of the CCC to be clean and organized. Each classrooms is observed to have age appropriate toys and furnishings available for children in care. The CCC has operable carbon monoxide detectors in each classroom. LPAs tested a carbon monoxide detector in the CCC's Preschool Classroom at 11:12 AM. LPAs observed restrooms attached to each classrooms at the CCC. LPAs observed the restrooms to be in safe and sanitary operating condition. LPAs observed operable refrigerators in the CCC's kitchen which contained food and beverages for children in care. LPAs noted the kitchen area is inaccessible to children in care. LPAs notes snacks, breakfast and lunches provided to children in care are prepared by CCC staff. LPAs observed food menus posted throughout the CCC.

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). LPAs verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. There is available drinking water for children both inside the classroom and outside in the play area.

LPAs observed disinfectants, cleaning solutions and sharps are in secured cabinet in each classroom. (CONT. 809-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024

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: SAN LUIS OBISPO CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 406206830
	VISIT DATE: 06/18/2024

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Likewise, LPAs observed medication at the CCC stored in elevated cabinets in each classroom. The cabinets were secured and beyond the reach of children in care. LPAs observed waste receptacles with tight fitting covers throughout the interior and exterior of the CCC.

LPAs note the CCC has an electronic sign In/Out system (Brightwheels). LPAs reviewed a sampling of system entries which contained the arrival and departure times of children as well as the signatures of the children's authorized representatives. LPA notes required licensing documents and forms are posted in a hallway wall near the entry of the CCC.

The CCC outdoor play areas are enclosed by chain link fencing. The fence's entry/exit gates are secured. LPAs observed age appropriate toys and play equipment in the play areas. LPAs observed the toys and play equipment observed are in suitable condition and free of sharp, loose or pointed objects. The play structures in the playground areas have adequate cushioning materials to absorb falls and an abundance of shade created by trees, building overhangs and shade structures. LPAs observed no bodies of water on site.

A sampling of staff and children's records are reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records, among other required licensing documents. LPAs reviewed staff member's records which contained current CPR and First Aid certifications, Mandated Reporter certifications and well as teacher qualifications, among other required documents. Director informed LPAs no firearm or ammunition is 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 representativeswas reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code 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.
(CONT. 809-C, Page 3)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024

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: SAN LUIS OBISPO CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 406206830
	VISIT DATE: 06/18/2024

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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.

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.

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 Michelle Holm.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024

LIC809 (FAS) - (06/04)

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