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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406210544
Report Date: 02/25/2022
Date Signed: 02/25/2022 12:05:00 PM

Document Has Been Signed on 02/25/2022 12:05 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:ARROYO GRANDE UNITED METHODIST CHILDREN'S CENTERFACILITY NUMBER:
406210544
ADMINISTRATOR:MADDY QUAGLINOFACILITY TYPE:
850
ADDRESS:275 N. HALCYON RD.TELEPHONE:
(805) 481-2223
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY: 41TOTAL ENROLLED CHILDREN: 41CENSUS: DATE:
02/25/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Maddy Quaglino TIME COMPLETED:
12:00 PM
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On 2/25/22, at 10:00 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Case Management – COVID-19 inspection and met with Maddy Quaglino Director of the abovementioned Child Care Center. LPA informed Director of the purpose for the inspection and completed a COVID-19 pre-screening questions prior to the commencement of the inspection. LPA, along with Director, toured the facility, inside and outside.

This inspection is a follow-up on COVID-19 outbreaks reported by facility staff to CCLD between 1/24/22- 2/8/22. CCLD provided a Tele - Rapid Assistance Support Team (RAST) inspection on 9/18/20, where CCLD provided COVID-19 resources, current Childcare Industry Guidance, and a COVID-19 self-assessment guide to the facility.

LPA observed facility staff wearing masks upon arrival to the facility. Children in care over the age of two also had masks on during this inspection. CCC has disinfectants and cleaning compound readily available to staff members but inaccessible to children in care. COVID postings related to mitigations were observed throughout the CCC. The CCC has has a QR Code at the entry of the facility which enable parents to check children in and out of the facility. Temperatures of individuals entering the CCC are taken outside the entry of the facility.

LPA discussed facility’s written plan when a staff member or child tests positive for COVID-19 and developing a written communication plan with parents/guardians to share information and guidelines in their preferred language. LPA discussed COVID-19 Vaccines, testing, face coverings, essential protective equipment and supplies, physical distancing, ventilation, isolation for Illness, cleaning and disinfection, hand washing, food service and meal times, How to Respond to Exposures or Outbreaks, and Resilience Tips during the pandemic.

LPA reviewed that facility maintains a current Covid-19 Child Care Program Self-Assessment Guide/Mitigation
(CONT. 809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 02/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/25/2022
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: ARROYO GRANDE UNITED METHODIST CHILDREN'S CENTER
FACILITY NUMBER: 406210544
VISIT DATE: 02/25/2022
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plan. LPA also provided the following resources:
- Official Public Health and Child Care Guidance for COVID-19 – Updated 2/18/22.
- COVID-19 Child Care Resources:
https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/child-care-licensing/covid-19-child-care-resources

There were no deficiencies cited during today's inspection.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director Maddy Quaglino

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2022
LIC809 (FAS) - (06/04)
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