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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215821
Report Date: 10/10/2024
Date Signed: 10/10/2024 11:54:28 AM

Document Has Been Signed on 10/10/2024 11:54 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:HAND IN HAND PRESCHOOL AND INFANT CENTERFACILITY NUMBER:
406215821
ADMINISTRATOR/
DIRECTOR:		ELLA MARIE BASTSONFACILITY TYPE:
830
ADDRESS:3172 JOHNSON AVETELEPHONE:
(805) 543-8653
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: DATE:
10/10/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Anitra HarrisonTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 10/10/24 9:30 AM, Licensing Program Analysts (LPAs) Shane Loftus and Elvin Baddley conducted an unannounced Annual Random inspection of the abovementioned Child Care Center (CCC). LPAs met with Anitra Harrison, Lead Teacher of the CCC and explained the purpose of the inspection. LPAs toured the interior and exterior of the CCC. The CCC operates from 7:30 AM to 5:25 PM, Monday- Friday on the grounds of Active Church in San Luis Obispo, CA. The CCC is an infant center with a toddler component. The center uses two rooms for care and an outdoor play area. LPAs observed 4 children in care along with two teachers (associated and cleared) providing care and supervision.

The rooms (Activity Room and Crib Room) used for child care services are clean, orderly and free of hazardous items. LPAs observed an ample number of cribs available for children in care as well as age-appropriate toys and furnishings. LPAs observed licensing required documents and forms posted on the wall of the CCC's main playroom. LPAs observed carbon monoxide and smoke detectors. LPAs did not test the smoke/carbon monoxide detectors because they are integrated within the buildings fire emergency system. Liquids and food, which includes bottles and formula, are stored in a refrigerator in the CCC's kitchen and room mini refrigerator. Bottles and food are labeled with child's name. The CCC has bottle drinking water available for children inside of the CCC and out. The CCC also provides mid-day snacks to children in care.

The outdoor activity area contains age-appropriate toys and equipment. The area has ample shade in the form of the building overhangs and shade covering. The entry /exit gates are secured. The area is enclosed by chain linked fencing and has foam cushioning at the base of the play structures. Lead Teacher has been informed to remove equipment and toys from the area when they begin to degrade or are not in good repair. LPAs observed no bodies of water on site.

Continued on 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: HAND IN HAND PRESCHOOL AND INFANT CENTER
FACILITY NUMBER: 406215821
VISIT DATE: 10/10/2024
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LPAs reviewed the files of children on site. Files contain Individual needs, service and feeding plans. LPAs also reviewed sleep logs which are current. LPAs reviewed staff records. Teachers have required qualifications. Teachers present have current Pediatric First Aid/CPR certificates as well as Adult Immunization and Tuberculosis Requirements. Lead Teacher is reminded to renew training certifications prior to expirations. LPAs note a review of the CCC disaster drill show the last drill occurred on 9/30/24. The Lead Teacher informed the LPAs no firearms or ammunition are stored on site. LPAs reviewed CCC sign-in/sign-out forms upon arrival at the CCC and notes the forms are completed correctly.

The CCC provides IMS services. 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



LPAs discussed the safe sleep regulations with Lead Teacher and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an
for additional resource. LPAs also informed Lead Teacher of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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.

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 Anitra Harrison.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
LIC809 (FAS) - (06/04)
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