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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215155
Report Date: 08/09/2021
Date Signed: 08/09/2021 03:29:12 PM

Document Has Been Signed on 08/09/2021 03:29 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:TRUST CHILDREN'S CENTERFACILITY NUMBER:
406215155
ADMINISTRATOR:SARAH DAVISFACILITY TYPE:
850
ADDRESS:4085 EARTHWOOD LANETELEPHONE:
(805) 548-1286
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY: 25TOTAL ENROLLED CHILDREN: 0CENSUS: 9DATE:
08/09/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Sarah DavisTIME COMPLETED:
01:45 PM
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On 8/9/21, at 12:45 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection of the abovementioned Child Care Center (CCC). LPA met with Sarah Davis, Director of the CCC and explained the purpose of the inspection. LPA, in the company of the Director toured the interior and exterior of the CCC. The CCC operates from 8:00 AM to 4:30 PM, Monday thru Friday. LPA observed nine children in care along with three teachers (associated and cleared). The CCC is a combined center with an infant program. LPA noted all nine children were napping at the time of the inspection.

The classroom of the CCC is clean and organized. LPA observed age appropriate toys and furnishings available for children. The bathroom attached to the classroom is in safe and sanitary operating condition. The classroom has an operable carbon monoxide detector. Disinfectants and cleaning solutions were locked in a laundry/supply room which is inaccessible to children. Likewise, the center’s medications are also secured in a locked box in the CCC's kitchen which is also inaccessible to children in care.

The CCC provides an afternoon snacks for the children. Parents of children in care provide morning snack and lunch from home. CCC staff ensure the snacks and lunch contain items from the necessary food groups. Children have access to available drinking water both inside the classroom and outside in the play area. LPA reviewed posted menus in the classroom which outlined the future snacks to be provided. Additionally, the room had licensing required documents and forms posted. The CCC maintains electronic Sign In/Outs (Pro Care). The Director printed LPA a sampling of the aforementioned which was completed appropriately.

The CCC's outdoor playground areas is enclosed by a wrought iron fencing. The fence’s entry/exit gate is secured. LPA observed age appropriate toys/play equipment in the play area which are suitable condition. The play structures in the playground areas have adequate cushioning materials (i.e. sand) to absorb falls. No bodies of water were observed on site. Waste receptacles with tight fitting covers were observed at the
(CONT. 809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 08/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/09/2021
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: TRUST CHILDREN'S CENTER
FACILITY NUMBER: 406215155
VISIT DATE: 08/09/2021
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CCC.

A sampling of staff and children records were reviewed. The children’s records are complete and found to contain emergency contact information as well as medical assessments. Staff records are reviewed and contained current pedantic CPR/First Aid and Mandated Reporter certifications (EMSA approved). Director noted no firearm or ammunition is stored on site.

Incidental Medical Services (IMS) policy was discussed. 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 COVID 19 guidance and best practices with the Director. Director is reminded that it is Director's responsibility to know the regulations for a CCC which can be accessed on-line at www.ccld.ca.gov.


In areas evaluated, there were no deficiencies cited at this time.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY

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

DATE: 08/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2021
LIC809 (FAS) - (06/04)
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