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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215049
Report Date: 10/23/2024
Date Signed: 10/23/2024 01:10:22 PM

Document Has Been Signed on 10/23/2024 01:10 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:WALDORF SCHOOL OF SANTA BARBARA, THEFACILITY NUMBER:
426215049
ADMINISTRATOR/
DIRECTOR:		CAROLYN KASTERFACILITY TYPE:
850
ADDRESS:7421 MIRANO DRIVETELEPHONE:
(805) 967-6656
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 20DATE:
10/23/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:27 AM
MET WITH:Carolyn KasterTIME VISIT/
INSPECTION COMPLETED:
01:25 PM
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On October 23, 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 Carolyn Kaster and informed them the purpose of the inspection. At the time of the inspection there were 20 children present and 4 staff providing care.

LPA observed some required licensing documents to be posted on the wall in the office of the CCC. LPA provided Director with, Parents Rights Poster (PUB 393), Child passenger Restraint system poster (PUB 269). LPA notes the CCC uses two classrooms for child care purposes. LPA observed the classrooms to be clean and orderly. LPA observed an accessible drawer to have adult scissors and an unsecured closet to have come cleaning supplies. 1 Type B deficiency is being issued on the attached LIC 809D for having hazardous item accessible. LPA observed sufficient restrooms for children and observed them to be clean and free of hazards. LPA observed multiple smoke and carbon monoxide detector and the director stated that they recently checked to ensure they are functioning.

LPA observed the outdoor play yard to have sufficient space for children’s activities and to have plenty of shading for children as well. Director informed LPA the CCC provides filtered water in cups or water bottles for children. LPA observed the outdoor area to be completely enclosed and exit/entry ways to be secured. LPA observed age-appropriate toys and equipment throughout the outdoor area. LPA reminded Director it is their responsibility to ensure toys and equipment are in good condition. LPA observed a storage shed in the outdoor area which was locked and inaccessible to children.

A sampling of children and staff records were reviewed. LPA reviewed a random sampling of 5 children's files. Files were observed to be complete and current. LPA reviewed 4 staff files. LPA notes various items were not available for review and as a result 1 Type B deficiency is being issued. LPA reminded Director it is their responsibility to ensure staff files are complete and current. LPA notes at least 1 staff member has a current Pediatric CPR/First Aid Certificate (expires 8/2025). LPA observed the sign in sheets to filled out CONTINUED PAGE 2

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2024
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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Document Has Been Signed on 10/23/2024 01:10 PM - It Cannot Be Edited


Created By: Giovani Gonzalez On 10/23/2024 at 12:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: WALDORF SCHOOL OF SANTA BARBARA, THE
FACILITY NUMBER: 426215049

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/23/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in having hazardous items in accessible drawers/closet which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/30/2024
Plan of Correction
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Director will secure the drawer and closets that hold scissors and cleaning products. Director will send proof of completion to LPA via email at giovani.gonzalez@dss.ca.gov
Type B
Section Cited
CCR
101217(d)
Personnel Records
(d) All personnel records shall be maintained at the child care center and shall be available to the licensing agency for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in 4 out of 4 staff files being incomplete which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/30/2024
Plan of Correction
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Director will provide LPA copies of complete staff files no later than 10/30/2024, via email at giovani.gonzalez@dss.ca.gov.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ana Tolentino
LICENSING EVALUATOR NAME:Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 10/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/23/2024


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: WALDORF SCHOOL OF SANTA BARBARA, THE
FACILITY NUMBER: 426215049
VISIT DATE: 10/23/2024
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appropriately for the children that are present.

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 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.

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/.

Director 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.



CONTINUED PAGE 3
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024
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: WALDORF SCHOOL OF SANTA BARBARA, THE
FACILITY NUMBER: 426215049
VISIT DATE: 10/23/2024
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Two Type B deficiency were issued during today's inspection and can be found on the attached 809-D.

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, appeal rights were provided and report was reviewed with the Director, Carolyn Kaster.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024
LIC809 (FAS) - (06/04)
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