<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216506
Report Date: 01/17/2023
Date Signed: 01/18/2023 09:37:16 AM

Document Has Been Signed on 01/18/2023 09:37 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:SAN LUIS OBISPO CLASSICAL ACADEMYFACILITY NUMBER:
406216506
ADMINISTRATOR:MERIDETH EADESFACILITY TYPE:
830
ADDRESS:110 GRAND AVE.TELEPHONE:
(805) 548-8700
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 0DATE:
01/17/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Merideth EadesTIME COMPLETED:
09:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 1/17/23, at 7:30 AM, Licensing Program Analyst (LPA) Elvin Baddley made an announced Prelicensing Inspection of the abovementioned Child Care Center (CCC). LPA met with Meredith Eades, Administrator of the CCC and explained the purpose of the inspection. There are no children on site at the time of the inspection. Administrator informed LPA of intention to operate the CCC from 8:00 AM to 5:00 PM, Monday - Friday. LPA notes the CCC is part of a combination CCC which consist of an Infant Program with a toddler option, a Preschool Program as well as a School Age Program (currently inactive).

The Infant Program consist of three buildings with three age groupings. The Slumber Room houses children 0-12 months of age. The Enchanted Forest room consist of children 12-18 months of age and the 100 Acre Wood Room consist of children 18 months to 3 years of age. Each room contains appropriate ventilation for child care. At the time of inspection, the rooms are outfitted with age appropriate furniture and equipment. Each room has operable carbon monoxide detectors which were tested and found to be functional. Medication within the each room is secured and placed in elevated locations. Likewise, cleaning products and toxins will be stored within secure cabinets. Sharps in the room are located in elevated locations outside the reach of children in care. Children will bring their own snacks, lunches and bottle water. The CCC afforded the children water treated through a reverse osmosis system. Water testing for lead containments has been completed. The CCC has operable refrigerators on site for refrigeration of children's food items when need be. The CCC has cribs (Slumber Room) and sleeping foam mats of appropriate thickness for children which have advance levels of mobility. Changing table are observed in arms length of sinks in the CCC and restroom are also available. LPA notes the restroom at the CCC are in sanitary operating condition. The Administrator informed LPA children from the 100 Acre Wood Room and the Enchanted Forrest Rooms are escorted by staff to the restroom area to ensure safety.

The outdoor area of the CCC is enclosed by wooden fencing. The fence entry/exit gates are secured by lock.

(CONT 809-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: SAN LUIS OBISPO CLASSICAL ACADEMY
FACILITY NUMBER: 406216506
VISIT DATE: 01/17/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The area has ample shade provided by both trees and building overhangs. The footing in the areas are varied. The outdoor area is outfitted with age appropriate equipment. LPA observed a locked shed in the outdoor area which contains CCC supplies. LPA observed no bodies of water on site. A waiver for the use of a staggered outdoor play yard will be needed from the Department prior to Licensure.

Application documentation was reviewed at the CCLD, prior to the inspection. LPA was informed no firearms are on site.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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 the safe sleep regulations with Facility Representative 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 additional resource. LPA also informed licensee facility representative 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.

The San Luis Obispo County Fire Department granted a Fire Clearance for a total capacity of 32 children on 1/9/23. Based on indoor and outdoor space, toilets and sinks, as well as LPA’s record review, this facility meets Title 22, Division 12 requirements for a CCC with a capacity of 32 children, however a waiver for the staggered use of the outdoor play yard is need. As such a Provisional License is granted given the aforementioned, effective forthwith 1/17/22

Exit interview conducted and report was reviewed with the Facility Representative Meredith Eades.

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

DATE: 01/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2