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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421700129
Report Date: 05/15/2024
Date Signed: 05/15/2024 12:24:52 PM

Document Has Been Signed on 05/15/2024 12:24 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:GOLETA VALLEY NURSERY SCHOOLFACILITY NUMBER:
421700129
ADMINISTRATOR/
DIRECTOR:		MICHELE TAPPEINERFACILITY TYPE:
850
ADDRESS:550 CAMBRIDGE DRIVETELEPHONE:
(805) 964-5514
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY: 35TOTAL ENROLLED CHILDREN: 34CENSUS: 29DATE:
05/15/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:44 AM
MET WITH:Michele Tappeiner TIME VISIT/
INSPECTION COMPLETED:
12:25 PM
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On May 15, 2024 Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced Required - 3 year Inspection at the above-mentioned Child Care Center (CCC). LPA met with Director Michele Tappeiner and informed them the purpose of the inspection. LPA in the company of the Director toured the interior and exterior of the facility. At the time of the inspection there were 29 children present and 4 staff present.

LPA observed the license to be posted prominently on behind the entrance door along with the Emergency Disaster Plan (LIC610). LPA observed the parents rights poster to be posted in a prominent area of the classroom. LPA observed the CCC to be clean and organized. The CCC has plenty of ventilation and space to accommodate children in care. LPA observed the indoor classroom to have plenty of equipment, toys, and furnishing for children in care. LPA observed the kitchen to be in an accessible area and observed that all lower drawers/cabinets were free of potential hazards. LPA observed the cleaning compounds to be stored on elevated surfaces beyond the reach of children in care. LPA observed the CCC to have sufficient toilets and sinks to accommodate children in care.

LPA observed the outdoor area to be completely enclosed by a fence. LPA observed plenty of equipment and toys that are age appropriate. LPA observed 3 storage sheds, all of which contain children's equipment and is free of potential hazards. LPA observed the footing under the play structures to be made of pea gravel. LPA reminded Director to ensure that there is sufficient cushioning in the fall zones.

LPA observed a menu to be posted at the entrance of the CCC. LPA notes that the facility only provides 1 snack and lunch is provided by the parents. Director informed LPA that the last time them conducted an emergency drill was about a month ago, however was unaware that they needed to be documented.

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SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2024
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 3
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: GOLETA VALLEY NURSERY SCHOOL
FACILITY NUMBER: 421700129
VISIT DATE: 05/15/2024
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A sampling of children's records was conducted and were found to be current and complete. LPA reviewed records of the staff present which were also found to be complete. LPA observed all staff to have current Mandated Reporter Training. LPA observed the Director to have completed CPR/ First Aid on 8/16/2023 (expires 8/16/2025).

To improve the quality and value of the new inspection process, a survey may be sent to the email address 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.

Director Michele Tappeiner 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.

LPA referred Director Michele Tappeiner to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) 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/.

Director Michele Tappeiner was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024
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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: GOLETA VALLEY NURSERY SCHOOL
FACILITY NUMBER: 421700129
VISIT DATE: 05/15/2024
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No deficiencies were issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director Michele Tappeiner.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024
LIC809 (FAS) - (06/04)
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