136608016-5-22-2019-20-CC-NDIZ-BCESRR-20190522140647

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136608016
Report Date: 05/22/2019
Date Signed: 05/22/2019 02:06:54 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	ICOE - CDS ROOM TO GROW PRESCHOOL		FACILITY NUMBER:	136608016
ADMINISTRATOR:	RAMOS, RACHEL		FACILITY TYPE:	850
ADDRESS:	474 S. PALM		TELEPHONE:	(760) 351-0556
CITY:	BRAWLEY	STATE: CA	ZIP CODE:	92227
CAPACITY:	45	CENSUS: 13	DATE:	05/22/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Rachel Ramos		TIME COMPLETED:	02:25 PM

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	LPA Nancy Diaz conducted an unannounced random site visit today. LPA met with Rachel Ramos, Site Supervisor. LPA toured the facility inside and outside. All required notices, forms and license were posted in an area visible to the parents or authorized person. There were 13 preschool children observed present today with staff Jessica Gastelo & Rachel Ramos. There were no bodies of water observed present within the premises. Firearms/weapons are not allowed or stored on premises. All children are under supervision, including visual observation, of a teacher at all times. . Disinfectants, cleaning solutions and other items that are dangerous to children are inaccessible via storage in staff bathroom. Furniture and playground equipment are kept in good condition, free of sharp, loose or pointed parts. All toilets and handwashing facilities are safe and working in sanitary conditions. Uncontaminated drinking water is available both indoors and out. Menus are posted at least one week in advance, where an authorized representative can view them. Outdoor activity space surface is maintained in a safe condition and free of hazards. All storage containers for solid waste have a tight-fitting covers that are kept on and in good repair. The areas under high climbing equipment, swings, slides have sufficient cushioning material to absorb falls. Licensee operates the facility within the conditions, limitations and capacity specified on the license. Staff records contain appropriate documentation of education credits. Both staff are trained in CPR and Pediatric First Aid, current certificates are on file. The person who signs the child in/out uses their full legal signature and records the time of day. Child’s admission agreement is available for review. Child is signed in/out by the person responsible for the child. A handout was provided to the director today on “Effects of Lead Exposure”. Director shall provide a copy of this handout to all the daycare parents. CONTINUED ON PAGE 2

SUPERVISOR'S NAME: Carolina Ramos	TELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2019

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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ICOE - CDS ROOM TO GROW PRESCHOOL	FACILITY NUMBER: 136608016
	VISIT DATE: 05/22/2019

NARRATIVE

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A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances.

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.

Ms. Ramos provided this analyst the following updated forms:

LIC 500 (Personnel Report), LIC 610 (Emergency Disaster Plan) and LIC 9040 (Children's Roster).

LPA observed the Representative post the Notice of Site Visit in a prominent place. The Representative states it is understood that this notice must be posted for 30 days.

NO DEFICIENCY OBSERVED TODAY.

SUPERVISOR'S NAME: Carolina Ramos	TELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2019

LIC809 (FAS) - (06/04)

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