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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426209595
Report Date: 09/07/2022
Date Signed: 06/07/2023 04:19:28 PM

Document Has Been Signed on 06/07/2023 04:19 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:ELLWOOD SCHOOLFACILITY NUMBER:
426209595
ADMINISTRATOR:KIM BRUZZESEFACILITY TYPE:
850
ADDRESS:7686 HOLLISTER AVE.TELEPHONE:
(805) 571-3774
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
09/07/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Kim BruzzeseTIME COMPLETED:
04:27 PM
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On 9/7/22, at 1:00 PM Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced One Year Required inspection the abovementioned Child Care Center (CCC). LPA met with Kim Bruzzese, Director of the CCC and explained the purpose of the inspection. LPA, in the company of the Director toured the interior and exterior of the CCC. The CCC operates from from 8:20 AM to 12:15 PM, Monday – Friday and staff is present at the facility from 8:00 AM to 3:00 PM, Monday - Friday. The facility is a preschool age program located in an elementary school. LPA notes that during this inspection there were no children present.

LPA notes that there are two (2) classrooms used for preschool children. The CCC classrooms are clean and organized. The CCC has ventilation to afford for childcare. LPA observed age-appropriate toys and furnishings throughout the CCC. LPA observed carbon monoxide detectors in the CCC. Director stated that detectors were just checked during fire clearance. The CCC's uses the school’s bathroom. LPA observes that the bathrooms are in safe and sanitary operating condition. LPA notes preschool children have access to seven (7) toilets, three (3) urinals and eight (8) sinks for hand washing. Snack/meals are provided by the CCC. Director stated that food preparation is conducted in the districts’ centralized kitchen and delivered to the CCC daily. The CCC provides the children in care filtered water inside the CCC and in the outside play area by means of individual water bottles, water jugs and disposable cups and filtered drinking stations throughout the CCC. Director was reminded of the need to have the CCC's water sources tested for lead containment. LPA observed disinfectants are readily accessible to staff but out of reach of children. At the moment, there is no medication in the CCC. When medication is on site, medication is stored in the school nurse’s office and is administered by the school nurse or office assistant. LPA observed manual sign- in and sign-out sheets containing parents drop off time, pick up time and full signatures. LPA reviewed sign-in and sign-out sheet and notes that all children that were present this morning were signed in.

CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2022
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: ELLWOOD SCHOOL
FACILITY NUMBER: 426209595
VISIT DATE: 09/07/2022
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LPA inspected all outdoor play areas and notes that all outdoor play areas are enclosed by chain link fencing. LPA observed age appropriate toys/play equipment in the play area. The toys/play equipment are free of sharp, loose or pointed objects. The outdoor play area also has ample shade created by a tree and building overhangs.

Staff and children records are reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records. Staff records were reviewed and current. Director was informed to keep training certifications current and renew certifications prior to expirations.

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

LPA discussed the safe sleep regulations with Site Supervisor 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. LPA also informed Director 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.

Director 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 Administrator, Kim Bruzzese.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022
LIC809 (FAS) - (06/04)
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