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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216232
Report Date: 07/06/2022
Date Signed: 07/06/2022 02:13:32 PM

Document Has Been Signed on 07/06/2022 02:13 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:CLIFF DRIVE CARE CENTER - INFANT CAREFACILITY NUMBER:
426216232
ADMINISTRATOR:JENNY YZNAGAFACILITY TYPE:
830
ADDRESS:1435 CLIFF DRIVETELEPHONE:
(805) 965-4286
CITY:SANTA BARBARASTATE: CAZIP CODE:
93109
CAPACITY: 13TOTAL ENROLLED CHILDREN: 13CENSUS: 0DATE:
07/06/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Danielle GarciaTIME COMPLETED:
01:00 PM
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On July 06, 2022 at 12:15 PM, Licensing Program Analysts (LPA's) Francisco Pedroza and Susana Martinez conducted an unannounced Pre-licensing inspection. LPA's met with Business Administrator Danielle Garcia and advised her the purpose of the inspection. Administrator provided LPA's a tour of the facility inside and out. There were no children in care at the time of the inspection.

Facility is located on a local church premises. LPA observed the required licensing documents mounted on the wall at the entrance of the facility. Infants will bring their own lunch and snacks from home. The facility will be using two (2) classrooms for children in care. LPA observed each classroom had age appropriate toys, activities, and furniture readily accessible for children in care. LPA's observed the infant crib area had three (3) cribs readily available. Infants over 12 months or that have the ability to stand in the crib will be transferred to a sleeping mat. LPA's advised administrator to ensure they have enough sleep mats and cribs for the children at all times. On May 6, 2022, facility submitted a waiver to Community Care Licensing (CCL) requesting to utilize part of the indoor activity space as a napping area for the children. The waiver was approved on June 6, 2022. Facility is required to follow the waiver requirements at all times. The waiver can be voided by CCL at any time should the facility not follow the requirements. The waiver must be posted in view at all times. A walkway must be separated from the sleep mats so staff do not step over children. LPA's spoke with Administrator about safe sleep requirements and infant needs and services plans. The facility has one (1) outdoor recreation yard with age appropriate toys and structures. Water will be available for children inside and out.

LPA's reviewed with Administrator the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. LPA discussed information capacity, ratios, current Covid-19, and safe sleep requirements.

Continued on 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 07/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/06/2022
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: CLIFF DRIVE CARE CENTER - INFANT CARE
FACILITY NUMBER: 426216232
VISIT DATE: 07/06/2022
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 Administrator was made aware that it is the facility's responsibility to know the current regulations for a CCC which can be accessed on-line at www.cdss.ca.gov.

The center meets Title 22 Division 12 requirements.

License will be effective today, July 6, 2022 for 12 infants.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817.

Administrator was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

LPA discussed the safe sleep regulations with Administrator 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 additional resource. LPA also informed [applicant, licensee, or facility representative] 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.

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)/ (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

Exit interview conducted and report was reviewed with the Business Administrator Danielle Garcia.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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