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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215155
Report Date: 08/26/2022
Date Signed: 08/26/2022 12:52:05 PM

Document Has Been Signed on 08/26/2022 12:52 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: 25CENSUS: 15DATE:
08/26/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Sarah Davis and Jessica De La CruzTIME COMPLETED:
01:15 PM
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On 8/26/22 at 11:45 AM, Licensing Program Analysts (LPA) Elvin Baddley conducted an unannounced COVID -19 Case Management inspection and met with Director Sarah Davis and Assistant Director Jessica De La Cruz of the abovementioned Child Care Center (CCC). LPA informed of the purpose for the inspection and asked pre-screening COVID -19 questions prior to the commencement of the inspection. Director and Assistant Director provided LPA a tour of the facility, inside and outside.

This inspection is a follow-up on a COVID-19 outbreak reported by facility staff to CCLD on 7/25/22. CCLD provided a Tele - Rapid Assistance Support Team (RAST) inspection on 6/24/21, where LPA provided COVID-19 resources, current Childcare Industry Guidance, and a COVID-19 self-assessment guide to the facility.

The CCC is a preschool and infant program. Children as well as staff members are currently not wearing face covering. However, social distancing is occurring on site to the best of the providers ability and regular cleaning and disinfecting is occurring routinely and as needed. Wellness checks are also completed prior to children entering the CCC.

LPA discussed facility’s written plan for 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, Handwashing, 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 plan. LPA also provided the following resources:
(CONT. LIC 809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2022
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: TRUST CHILDREN'S CENTER
FACILITY NUMBER: 406215155
VISIT DATE: 08/26/2022
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- Official Public Health and Child Care Guidance for COVID-19 .
- 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 Sarah Davis.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2022
LIC809 (FAS) - (06/04)
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