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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215269
Report Date: 06/06/2023
Date Signed: 06/06/2023 01:12:29 PM

Document Has Been Signed on 06/06/2023 01:12 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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:ADVENTURE KIDSFACILITY NUMBER:
406215269
ADMINISTRATOR:EVELYN CHOTOFACILITY TYPE:
850
ADDRESS:880 MANZANITA DR. RM # 5 & 6TELEPHONE:
(805) 439-4911
CITY:LOS OSOSSTATE: CAZIP CODE:
93402
CAPACITY: 43TOTAL ENROLLED CHILDREN: 43CENSUS: 7DATE:
06/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:46 AM
MET WITH:Evelyn ChotoTIME COMPLETED:
01:30 PM
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On 06/06/2023 Licensing Program Analysts (LPAs) Dixie Wright and Elvin Baddley conducted an unannounced Required inspection on the Child Care Center (CCC). The LPAs met with Evelyn Choto, Director of the CCC and explained the purpose of the inspection. LPAs, toured the facility toured the interior and exterior. The center operates from 7:30 AM to 5:30 PM, Monday - Friday. This is a combination center with an infant, preschool and school-age program. This license is for Pre-school age children. At the time of the inspection, there were seven pre-school age children present.
The CCC has (two) pre-school classrooms, only one is operating at the moment. The classroom has proper ventilation for child care. The classroom was clean and orderly during inspection. LPAs observed age appropriate toys and furnishings throughout the classroom. The Carbon Monoxide detector was tested at 9:42 am and found to be operational during the time of the inspection. LPAs observed adequate sleep mats for children in care. The CCC has an operable refrigerator. The Center provides snacks, the children in care bring their own food for lunch. Children bottles and food were properly labeled with child's name and date. Facility does not provide transportation. Disinfectants and cleaning solutions are stored on top of the refrigerator, not accessible to children. CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Dixie Marie Wright
LICENSING EVALUATOR SIGNATURE: DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2023
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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: ADVENTURE KIDS
FACILITY NUMBER: 406215269
VISIT DATE: 06/06/2023
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LPAs observed all licenses and required postings in a prominent, visible area in the classroom. LPAs observed a Sign In/Out form, that was up to date, near the CCC's entry.
LPAs observed age appropriate toys/play equipment in the play area for children. No potential hazards were observed in the play area. All gates were latched separating the play area from the infant and school aged areas. No bodies of water were observed on site. The Director stated there are no firearms/weapons or ammunition that are stored on the premises. Facility has been tested for lead contaminants levels.

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 medical assessments. All children's immunization cards were found in files and current. Staff files were reviewed; Director and staff's AB107 expires 05/13/2024 and First Aid/CPR expires 07/29/2023. All proof of immunization were in file. All required documents were in place.

CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Dixie Marie Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: ADVENTURE KIDS
FACILITY NUMBER: 406215269
VISIT DATE: 06/06/2023
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This facility does not provide Incidental Medical Services – IMS. 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

Facility representative 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.


There are no deficiencies being cited during this inspection.
Exit interview conducted with Director Evelyn Choto.

Notice of Site visit was given (LIC 9213) which must be posted for 30 days.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Dixie Marie Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
LIC809 (FAS) - (06/04)
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