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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421701053
Report Date: 02/13/2024
Date Signed: 02/13/2024 12:25:06 PM

Document Has Been Signed on 02/13/2024 12:25 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CARPINTERIA KINDERKIRK PRESCHOOL & DAY CARE CENTEFACILITY NUMBER:
421701053
ADMINISTRATOR:KALEIGH WILLIAMSFACILITY TYPE:
850
ADDRESS:1111 VALLECITO RDTELEPHONE:
(805) 684-4070
CITY:CARPINTERIASTATE: CAZIP CODE:
93013
CAPACITY: 104TOTAL ENROLLED CHILDREN: 104CENSUS: 30DATE:
02/13/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Ana CardonaTIME COMPLETED:
11:00 AM
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On February 13, 2024 Licensing Program Analysts (LPAs) Susana Martinez and Aaliyah Zendejas conducted an unannounced Required- 3 year inspection. LPAs met with office manager Sheri Hultman and advised of the purpose of the inspection. Sheri states the Director was out, but will be arriving later. Ana Cardona has been left as the designate of facility responsibility. LPA's were provided with a tour of the facility inside and outside. There were 30 children in care of 5 staff members at the time of the inspection. No bodies of water were observed at the time of inspection.

LPA's observed required licensing documents mounted on the walls throughout the facility. Last fire drill was conducted on 1/16/2024. Each of the classrooms have age-appropriate toys and furniture readily accessible for children in care. LPA's observed enough restrooms available for children to use. LPA did not observe any hazards/toxins items accessible to children. First Aid kits were observed throughout the facility. Currently the facility uses paper sign-in/sign-out sheets. Facility provides afternoon snacks which are provided on site, children bring lunches from home. LPA's observed drinking water available throughout the facility. Children bring labeled cups from home and the center has disposable cups on hand in case children forget their cups.

The center uses two outdoor play areas which were found to be free of hazards. The outdoor playground is shaded and has an ample amount of space for children to play. LPA observed the playground has age-appropriate toys and structures available for children to use. Trash cans were observed to have tight fitted lids.

A sampling of children and staff records were reviewed. LPA observed children's files to be complete and current. Staff mandated reporter certification are all current, with the exception of one staff member who has a completed certificate from an unapproved provider. LPA advised assistant director to have employee complete the training from one of the approved providers. LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements. Staff have current CPR/First Aid certification which is valid through 08/15/2024.
Continued on 809-C
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2024
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: CARPINTERIA KINDERKIRK PRESCHOOL & DAY CARE CENTE
FACILITY NUMBER: 421701053
VISIT DATE: 02/13/2024
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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.

Assistant Director 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (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.

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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/.

No deficiencies were issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with assistant director Ana Cardona.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
LIC809 (FAS) - (06/04)
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