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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215771
Report Date: 07/16/2024
Date Signed: 07/16/2024 02:59:17 PM

Document Has Been Signed on 07/16/2024 02:59 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:CAPSLO - SLO EARLY EDUCATION & CHILD CAREFACILITY NUMBER:
406215771
ADMINISTRATOR/
DIRECTOR:
A. RAMIREZ-BARRONFACILITY TYPE:
850
ADDRESS:981 MARSH STREETTELEPHONE:
(805) 544-4355
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 7DATE:
07/16/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Oscar Ramirez LoezaTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 7/16/24, at 1:00 PM, Licensing Program Analysts (LPAs) Elvin Baddley and Elizabeth George conducted an unannounced Annual/Random Inspection of the abovementioned Child Care Center (CCC). LPAs met with Oscar Ramirez Loeza, Site Supervisor of the CCC and explained the purpose of the inspection. LPAs, in the company of the Site Supervisor toured the interior and exterior of the CCC. The CCC is on the grounds of First Presbyterian Church of San Luis Obispo and the CCC utilizes two rooms (Classroom 1 and Classroom 2) along with an enclosed outdoor play area. The CCC has a preschool program with a toddler option. The CCC operates from 7:30 AM - 4:30 PM, Monday - Friday. At the time of the inspection, LPAs observed seven children in care, along with three staff members (cleared and associated) providing care and supervision. LPAs note all children on site are in various phases of napping during the time of the inspection. Additionally, no toddlers are on site.

LPA observed licensing required notices on the wall of Classroom 1 near the CCC's office. LPA observed Sign In/Out forms near the entry of the CCC. The forms notes the child's arrival and departure times as well as the signature of the authorized representatives/parents.

The CCC is clean, organized and orderly. LPA observed age appropriate toys and furnishings throughout the CCC. LPAs also observed a carbon monoxide detector in the CCC. The detector was not tested as children in care are napping. The CCC's bathroom is in safe and sanitary operating condition. The CCC has an operable refrigerator in the kitchen which is outside of the CCC. LPA notes the CCC provides snacks and lunches for children in care.

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
(CONT. 809-C, Page 2)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/16/2024
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: CAPSLO - SLO EARLY EDUCATION & CHILD CARE
FACILITY NUMBER: 406215771
VISIT DATE: 07/16/2024
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licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPAs verified that the lead
testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. Water is
provided for children in care inside of the facility and outside of the facility. LPAs observed a facility menu posted on the CCC's wall. Disinfectants, cleaning solutions, sharps and medication are in areas which are inaccessible to children in care.

The CCC's outdoor play area is enclosed by black wrought iron fencing. The fence's entry/exit gates are secured. LPAs observed a shed in the play area which is secure by lock. The shed contains CCC supplies. LPAs 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. Play structure have adequate cushion to absorb for falls and shade in the area is created by building overhangs and canopy shades.

Staff and children records are reviewed. The children’s records are complete and found to contain emergency contact information and immunization records, amongst other licensing required documents. Staff records are reviewed and contained pediatric CPR and First Aid certifications, Mandated Report certifications and teaching qualifications, amongst other required licensing documents. Site Supervisor informed LPAs no firearms/weapons or ammunition was stored on the premises.

This facility provides Incidental Medical Services (IMS). LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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.

To improve the quality and value of the new inspection process, a survey may be sent to the email address
(CONT. 809-C, Page 3)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
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: CAPSLO - SLO EARLY EDUCATION & CHILD CARE
FACILITY NUMBER: 406215771
VISIT DATE: 07/16/2024
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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.

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 Oscar Ramirez Loeza.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
LIC809 (FAS) - (06/04)
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