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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406210544
Report Date: 08/11/2022
Date Signed: 08/11/2022 01:01:16 PM

Document Has Been Signed on 08/11/2022 01:01 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:
08/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Maddy QuaglinoTIME COMPLETED:
12:45 PM
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On 8/11/22, at 9:15 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required Inspection of the abovementioned Child Care Center (CCC). LPA met with Maddy Quaglino Director of the CCC and explained the purpose of the inspection. The LPA, in the company of Director toured the interior and exterior of the CCC. The CCC operates from 8:00 AM to 4:00 PM, Monday - Friday. The preschool is on the grounds of Arroyo Grande United Methodist Church and uses three classrooms (Toddler Room, Preschool Room and TK Room) for child care. One classroom previously used is closed. LPA observed 15 children in care along with 6 teachers (cleared and associated) providing care and supervision.

The classrooms of the CCC were clean and organized. The classrooms had age appropriate toys and furnishings available for children. Each classroom has carbon monoxide detectors. A carbon monoxide detector in the T-K room was tested at 9:35 PM and found to be operable. The restrooms of the CCC, two in total, were in safe and sanitary operating condition. The CCC has an operable refrigerator for food storage. Children bring snacks and lunches from home. Staff member review the children's lunches to ensure food items brought from home contain food from the essential food groups and are void of junk foods. There is available bottle drinking water for children both inside the classroom and outside in the play areas. The CCC has completed source water testing for lead containments. Waste receptacles with tight fitting covers were observed throughout the center. Disinfectants, cleaning solutions, medication and sharps are stored in elevated cabinets in each classroom which are secure and/or beyond the reach of children in care. Each classroom has licensing required noticed posted predominately. The CCC use an electronic sign in application to capture facility Sign In/Outs. LPA reviewed the information contained in the application and notes the arrival and depart time of children is noted along with their authorized representative

The center’s outdoor activity areas (courtyard, play grounds) are comprised of a variety of different surfaces. The areas are enclosed by a chain linked fencing. The fence’s entry/exit gates are secured. The LPA
(CONT. 809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2022
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: 08/11/2022
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observed age appropriate toys/play equipment in the play area. The toys/play equipment are in suitable condition and free of sharp, loose or pointed objects. The play structures in the activity areas have adequate cushioning materials to absorb falls. LPA also observed the areas have an abundance of shade. No bodies of water were observed on site.

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. The CCC also has documentation capturing children (ages 18-24 months) sleep checks in intervals of 15 minutes. Staff member's records were reviewed and contained current CPR and First Aid certifications and well as Mandated Reporter certifications and qualifications. LPA notes CCC record indicate the last fire drill was completed in 7/21/22 . Director informed LPA no firearm 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 an for additional resource. LPA 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.

Facility representative were 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.

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

DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2022
LIC809 (FAS) - (06/04)
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