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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406213282
Report Date: 03/05/2025
Date Signed: 03/05/2025 12:42:36 PM

Document Has Been Signed on 03/05/2025 12:42 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CAPSLO - CUESTA INFANT CENTER - RM 4021FACILITY NUMBER:
406213282
ADMINISTRATOR/
DIRECTOR:		A. RAMIREZ-BARRONFACILITY TYPE:
830
ADDRESS:4000 CHORRO VALLEY RDTELEPHONE:
(805) 546-3285
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
03/05/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Penny GlassTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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On 3/5/25, at 9:00 AM, Licensing Program Analyst (LPA) Shane Loftus conducted an unannounced Required 3 Year inspection of the above-mentioned Child Care Center (CCC). The LPA met with Penny Glass, 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 operates from the grounds of Cuesta College's Children Center in Room 4021. The CCC operates from 8:00 AM to 4:45 PM, Monday - Friday. The CCC is an infant program. At the time of the inspection, 5 children are present, along with three teachers (cleared and associated) proving care and supervision.

The CCC is clean and organized. LPA observed age-appropriate toys and furnishings throughout the CCC. The CCC has cribs along with napping cots for children in care with various levels of mobility. LPA observed a carbon monoxide detector which was tested at 9:16 AM and found to be operable. The CCC has an operable refrigerator. The refrigerator contains the foods consumed by children. The Site Supervisor noted children in care are provided snacks, breakfast, lunches, and formula, while breast milk is provided by parents. Disinfectants and cleaning solutions are stored in elevated locations in the classroom. Medication is stored in a secure elevated location in a locked box which is beyond the reach of children in care. Sharps are stored in the kitchen area of the CCC, which is inaccessible to children in care. The CCC provides the children in care filtered water both inside the facility and in the outdoor activity area.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (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). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CAPSLO - CUESTA INFANT CENTER - RM 4021
FACILITY NUMBER: 406213282
VISIT DATE: 03/05/2025
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LPA observed licensing required notices, documents, and forms near the entry of the CCC. LPA observed Sign In/Out forms contained in a binder. The forms contain the child's arrival and departure times as well as the signature of the authorized representatives.

CCC's outdoor play area is enclosed by vinyl fencing. The footing is varied, and Site Supervisor Informed LPA padded mats are placed on the ground for children to play on. Children also use the toddler area when unoccupied. LPA observed age-appropriate toys/play equipment in the play areas. The toys/play equipment are free of sharp, loose or pointed objects. No bodies of water were observed on site.

A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records. LPA also review sleep logs which documented the sleep of children in 15-minute intervals. Staff records were reviewed and contained current Pediatric CPR/First Aid and Mandated Report certifications.

Site Supervisor informed LPA no firearms/weapons or ammunition are stored on the premises.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) 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, 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.

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CAPSLO - CUESTA INFANT CENTER - RM 4021
FACILITY NUMBER: 406213282
VISIT DATE: 03/05/2025
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LPA also informed facility representative 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 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.

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.

No deficiencies were cited during today’s inspection. 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 Penny Glass.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025
LIC809 (FAS) - (06/04)
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