<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216451
Report Date: 11/22/2022
Date Signed: 12/05/2022 09:28:20 AM

Document Has Been Signed on 12/05/2022 09:28 AM - 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:COASTAL FAMILY PRESCHOOLFACILITY NUMBER:
426216451
ADMINISTRATOR:DAVID PENNINGTONFACILITY TYPE:
830
ADDRESS:5026 FOOTHILL ROADTELEPHONE:
(805) 684-2437
CITY:CARPINTERIASTATE: CAZIP CODE:
93013
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
11/22/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:David Pennington & Brittney GrimshawTIME COMPLETED:
10:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On Tuesday November 22, 2022 at 9 AM, Licensing Program Analysts (LPA’s) Susana Martinez and Rona Chavez conducted an announced pre-licensing inspection. LPA’s met with directors David Pennington and Brittney Grimshaw and advised the reason for the inspection. Prior to entering the facility LPA’s conducted a COVID-19 risk assessment, all answers indicated no COVID-19 present. LPA’s and directors toured the facility inside and outside. At the time of inspection there were no children in care.

The facility plans to operate Monday- Friday 8 AM- 4 PM and serve infants ages 3 months – 2 years old. No bodies of water were observed at the time of inspection. The infant room was observed to be clean and free of toxins/hazardous items. The room has sufficient age-appropriate toys. A carbon monoxide detector is to be placed in the infant room. A first aid kit was observed at the entrance of the room. LPA's observed 8 cribs with sleep logs attached to the sides of the cribs. The changing table was observed to be within arms reach to the bathroom sink. There is 1 toilet and 1 sink in the children's restroom. The indoor activity space has the capacity to accommodate 6 children maximum.

The outdoor space was observed to be clean and free of toxins/ hazardous items. Director Brittney states the tent for shade will be installed shortly over the platform. The platform is placed over artificial turf. A fire clearance was granted by the Carpinteria-Summerland Fire Department on 11/15/2022. Director states the children will be bringing their own cups for water, and the facility currently uses a water service company to provide drinking water. The facility has a separate fridge to store infants milk.

LPA provided and reviewed with Site Supervisor 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. Site Supervisor 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.

Continued 809-C

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/22/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: COASTAL FAMILY PRESCHOOL
FACILITY NUMBER: 426216451
VISIT DATE: 11/22/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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

Directors were 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.



The center meets Title 22 Division 12 requirements. License will be effective today, 11/22/2022 for total capacity of 6 infants.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2