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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
406215079
Report Date:
09/09/2022
Date Signed:
09/09/2022 05:44:02 PM
Document Has Been Signed on
09/09/2022 05:44 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:
WISHING WELL SCHOOL OF THE CENTRAL COAST
FACILITY NUMBER:
406215079
ADMINISTRATOR:
KIM WISHON
FACILITY TYPE:
850
ADDRESS:
880 MANZANITA
TELEPHONE:
(805) 235-4401
CITY:
LOS OSOS
STATE:
CA
ZIP CODE:
93402
CAPACITY:
26
TOTAL ENROLLED CHILDREN:
26
CENSUS:
36
DATE:
09/09/2022
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
09:55 AM
MET WITH:
Hillary Soldati, Administrator
TIME COMPLETED:
05:45 PM
NARRATIVE
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On 9/9/2022 at 9:55 AM Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced 1 Year Required Inspection and met with Wishing Well Principal, Ms. Hillary Soldati. LPA explained the purpose of the inspection. Prior to inspection LPA asked pre screening questions related to COVID -19 and responses indicate there are no COVID-19 exposure on site. LPA asked for the Director, Ms. Kimberly Wishon, Ms. Soldati stated the Kim Wishon left the position on 8/15/2022 and they hired a new Director, Kimberly Raine.
LPA in the company of Ms. Soldati toured the Child Care Center. Wishing Well Child Care Center was Licensed on October 5, 2015 for a capacity of 40 to utilize Classrooms no. 12 and no. 14. On October 15, 2016, CCC applied to reduce the capacity of pre school down to 26 children to use classroom no. 14. During the tour, LPA observed that day care are being held outdoors. Ms. Soldati stated that During COVID-19 Pandemic, CCC decided to move the two (2) groups (ages 4 to 5 years old) outdoors and one group (age 3) uses room no. 12. There are total of 36 children present at the time of the inspection. During the inspection, LPA likewise found out that the CCC changed the hours of operation, Monday to Friday, 8:30 AM to 12:30 PM. There are some day care children that stay until 4:30 PM and use room no. 12 for napping and quiet time. Required licensing forms were observed to be posted inside the Faculty room. Ms. Soldati moved the postings in the prominent location.
A sampling of children and staff records were reviewed. Children's files were complete. Teachers qualifications were verified. 5 Staff have no immunization, 5 staff have not renewed Mandated Reporter Training. The appointed Director Ms. Kimberly Raine's Criminal Record Clearance is not associated with the CCC and she has no required documentation for a new director on file.
Continued on LIC 809C
SUPERVISORS NAME
:
Maria Mueller
LICENSING EVALUATOR NAME
:
Gigi Reyes
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/09/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/09/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809
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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:
WISHING WELL SCHOOL OF THE CENTRAL COAST
FACILITY NUMBER:
406215079
VISIT DATE:
09/09/2022
NARRATIVE
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During today's inspection, Type A and Type B deficiencies were cited under Title 22 Division 12. and Health and Safety Code.
LPA Reyes informed Ms. Hilary Soldati
that this report dated 9/9/2022 documents two (2) Type A citations) which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.
Also, LPA Reyes informed the Ms. Soldati to provide a copy of this licensing report dated 9/9/2022
that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verific
ation.
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
To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process
.
Ms. Soldati was 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 Administrative Director, Ms Hilary Soldati.
SUPERVISORS NAME
:
Maria Mueller
LICENSING EVALUATOR NAME
:
Gigi Reyes
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/09/2022
LIC809
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Document Has Been Signed on
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Created By:
Gigi Reyes
On
09/09/2022
at
03:36 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
6500 HOLLISTER AVE., SUITE 200
GOLETA
,
CA
93117
FACILITY NAME:
WISHING WELL SCHOOL OF THE CENTRAL COAST
FACILITY NUMBER:
406215079
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/09/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101170(e)(2)
Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f) or
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on record review, the licensee did not comply with the section cited above, Ms. Kimberly Raine, did not transfer her Criminal Record Clearance to CCC. She started working with children at the CCC on 9/7/2022 which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date:
09/12/2022
Plan of Correction
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Ms. Soldita and Ms. Raine submitted the transfer documents on 9/9/2022 to CCL through LPA Reyes. Ms. Soldita aagreed to submit a written plan of correction on how to ensure that all employees, volunteers, have criminal record clearnce prior to initial presence at the CCC no later than 9/12/2022.
Type A
Section Cited
CCR
101161(a)
Limitations on Capacity and Ambulatory Status
(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above, dring the inspection, it was observed that there were 36 day care children present which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date:
09/12/2022
Plan of Correction
1
2
3
4
Ms. Soldita, agreed to correct the deficiency and submit a written plan of correction no later than 9/12/2022.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Maria Mueller
LICENSING EVALUATOR NAME:
Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE:
09/09/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/09/2022
LIC809
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Page:
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Document Has Been Signed on
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Created By:
Gigi Reyes
On
09/09/2022
at
03:36 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
6500 HOLLISTER AVE., SUITE 200
GOLETA
,
CA
93117
FACILITY NAME:
WISHING WELL SCHOOL OF THE CENTRAL COAST
FACILITY NUMBER:
406215079
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/09/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101160(a)
Posting of License
(a) The license shall be posted in a prominent, publicly accessible location in the center.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on obsevation, the licensee did not comply with the section cited above License was observed to be posted inside the Faculty office which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/12/2022
Plan of Correction
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3
4
Ms. Soldita posted the License in the prominent location at the time of visit.
Type B
Section Cited
CCR
101174(d)(2)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months. (2) The drills shall be documented. This documentation shall be kept in the child care center for at least one year.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on record review and interview, the licensee did not comply with the section cited above, Ms. Saldita stated that they conduct fire and disaster drill but it was not documented. which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/12/2022
Plan of Correction
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2
3
4
Ms. Soldita agreed to submit a written plan of correction on how to ensure that Disaster drills conducted every 6 months shall be documented.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Maria Mueller
LICENSING EVALUATOR NAME:
Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE:
09/09/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/09/2022
LIC809
(FAS) - (06/04)
Page:
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Document Has Been Signed on
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- It Cannot Be Edited
Created By:
Gigi Reyes
On
09/09/2022
at
03:36 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
6500 HOLLISTER AVE., SUITE 200
GOLETA
,
CA
93117
FACILITY NAME:
WISHING WELL SCHOOL OF THE CENTRAL COAST
FACILITY NUMBER:
406215079
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/09/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on record review, the licensee did not comply with the section cited above, 5 out of 7 staff have no record of immunization on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/19/2022
Plan of Correction
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2
3
4
Ms. Soldita agrred to submit the plan of correction no later than 9/19/2022
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above, 5 staff did not renew or have not taken the mandated reporter training which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/19/2022
Plan of Correction
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2
3
4
Ms. Soldita agreed to submit a plan of correction to CCL no later than 9/19/2022
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Maria Mueller
LICENSING EVALUATOR NAME:
Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE:
09/09/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/09/2022
LIC809
(FAS) - (06/04)
Page:
5
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Document Has Been Signed on
09/09/2022 05:44 PM
- It Cannot Be Edited
Created By:
Gigi Reyes
On
09/09/2022
at
03:36 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
6500 HOLLISTER AVE., SUITE 200
GOLETA
,
CA
93117
FACILITY NAME:
WISHING WELL SCHOOL OF THE CENTRAL COAST
FACILITY NUMBER:
406215079
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/09/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101215.1(b)
Child Care Center Director Qualifications and Duties
(b) All child care centers shall have a director.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and interview the licensee did not comply with the section cited above, Ms. Soldita stated that former Director Ms. Wishon is no longer working as director. New director was hired however, qualifications were not verified and there are no required documentations for new director on file which poses/posed a potential health, safety or personal rights risk to persons in care. Ms. Soldita stated Kim Wishon is still part of the School, however, the latter was not peresent.
POC Due Date:
09/19/2022
Plan of Correction
1
2
3
4
Ms. Soldita agreed to submit plan of correction to CCL no later than 9/19/2022
Type B
Section Cited
CCR
101215.1(d)
Child Care Center Director Qualifications and Duties
(d) The child care center director, or the substitute director as specified in (f) below, shall be on the premises during the hours the center is in operation.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and review the licensee did not comply with the section cited above, there is no qualified substitute to act as a preschool director at the time of the inspection which poses/posed a potential health, safety or personal rights risk to persons in care. Ms. Soldita stated Kim Wishon is still part of the School, however, the latter was not peresent.
POC Due Date:
09/19/2022
Plan of Correction
1
2
3
4
Ms. Soldita agred to submit written plan of correction to CCL no later than 9/9/2022
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Maria Mueller
LICENSING EVALUATOR NAME:
Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE:
09/09/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/09/2022
LIC809
(FAS) - (06/04)
Page:
6
of
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Document Has Been Signed on
09/09/2022 05:44 PM
- It Cannot Be Edited
Created By:
Gigi Reyes
On
09/09/2022
at
03:36 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
6500 HOLLISTER AVE., SUITE 200
GOLETA
,
CA
93117
FACILITY NAME:
WISHING WELL SCHOOL OF THE CENTRAL COAST
FACILITY NUMBER:
406215079
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/09/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101215.1(m)
Child Care Center Director Qualifications and Duties
(m) A child care center director shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review the licensee did not comply with the section cited above, the newly hired director has no documentation on file including the 16 hours of health and training, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/19/2022
Plan of Correction
1
2
3
4
Ms. Soldita agreed to submit the plan of correction, no later than 9/19/2022
Type B
Section Cited
CCR
101216(g)(1)
Personnel Requirements
(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in 5 staff do not have LIC 503 Health Screening on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/19/2022
Plan of Correction
1
2
3
4
Ms. Soldita agreed to submit the plan of correction no later than 9/19/2022
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Maria Mueller
LICENSING EVALUATOR NAME:
Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE:
09/09/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/09/2022
LIC809
(FAS) - (06/04)
Page:
7
of
8
Document Has Been Signed on
09/09/2022 05:44 PM
- It Cannot Be Edited
Created By:
Gigi Reyes
On
09/09/2022
at
03:36 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
6500 HOLLISTER AVE., SUITE 200
GOLETA
,
CA
93117
FACILITY NAME:
WISHING WELL SCHOOL OF THE CENTRAL COAST
FACILITY NUMBER:
406215079
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/09/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(a)(12)
Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Tuberculosis test documents as specified in Section 101216(g).
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in 5 employees do not have tuberculosis test on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/19/2022
Plan of Correction
1
2
3
4
Ms. Soldita agreed to submit the plan of correctin to CCL no later than 9/19/2022
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Maria Mueller
LICENSING EVALUATOR NAME:
Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE:
09/09/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/09/2022
LIC809
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