421708698-6-12-2023-17-CC-EBAY-CSQTWD-20230612150523

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 421708698
Report Date: 06/12/2023
Date Signed: 06/12/2023 03:05:28 PM

Document Has Been Signed on 06/12/2023 03:05 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:	SANTA YNEZ FAMILY SCHOOL		FACILITY NUMBER:	421708698
ADMINISTRATOR:	TULLIS-THOMPSON, JULIANNE		FACILITY TYPE:	850
ADDRESS:	5300 FIGUEROA MOUNTAIN ROAD		TELEPHONE:	(805) 688-5440
CITY:	LOS OLIVOS	STATE: CA	ZIP CODE:	93441
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 30	CENSUS:	DATE:	06/12/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Julianne Tullis-Thompson		TIME COMPLETED:	03:15 PM

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On 6/12/23, at 1:00 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required Inspection the abovementioned Child Care Center (CCC). LPA met with Julianne Tullis-Thompson, Administrator/Director of the CCC and explained the purpose of the inspection. LPA, in the company of Administrator/Director, herein Director, toured the interior and exterior of the CCC. The CCC hold a Preschool License and operates from 9:00 AM to 3:00 PM, Monday - Friday. The preschool primarily uses two room areas for childcare (Advance Green Door Room - Ages 4-5 and the Main Green Door Room- Ages 3-4). LPA observed no children in care during the inspection. LPA notes the CCC in on a summer recess from 6/7/23- 9/6/23.

The rooms used for childcare are clean and organized. The rooms have age appropriate toys and furnishings available for children in care. The CCC has carbon monoxide detectors throughout the facility. A carbon monoxide detector in the Advance Green Door Room was tested at 1:18 PM and found to be operable. The restrooms used for care are in safe and sanitary operating condition. LPA observed an operable refrigerator in the CCC's kitchen which contains some food items for the children’s consumption. The CCC provides snacks for children, while lunches are provided by parents. CCC advises parents providing lunches to ensure lunches contain healthy items from essential food groups. LPA notes there is available bottled drinking water for children both inside the CCC and outside in the play area. The facility’s water sources have been tested for lead containment levels and test results are posted.

Disinfectants, cleaning solutions, sharps and medications in CCC are located in areas (i.e. staff and Director's offices) which are inaccessible to children in care. LPA reviewed licensing required notices and documents posted predominately at the entry of the CCC. LPA reviewed past Sign In/ Sign Out entries and noted entries contain the arrival and departure times of children in care and as well as signatures from authorized representatives.

The CCC's outdoor playground areas are enclosed by a combination of wooden, wrought iron and wire

(CONT. 809-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023

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: SANTA YNEZ FAMILY SCHOOL	FACILITY NUMBER: 421708698
	VISIT DATE: 06/12/2023

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fencing. The fence's entry/exit gates are secured and the footing in the areas is made up of various surfaces. Toys, furnishings and play equipment in the outdoor area is age appropriate. The toys, furnishing and play equipment are in suitable condition and free of sharp, loose or pointed objects. The play structures in the playground areas have cushioning materials to absorb falls and an abundance of shade created by trees, shade sails and outdoor structures. Director is reminded to replace toys, furnishing and play equipment which has degraded and is not in good repair. No bodies of water were observed on site. Waste receptacles with tight fitting covers were observed throughout the CCC.

A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records, amongst other required licensing documents.. Staff records were reviewed and found to contain current pediatric CPR and First Aid certifications (EMSA approved), Mandated Report certifications and teaching qualifications, amongst other required licensing documents. Director informed LPA no firearm or ammunition is 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 Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

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 Julianne Tullis-Thompson.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023

LIC809 (FAS) - (06/04)

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