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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370805284
Report Date: 12/18/2019
Date Signed: 12/18/2019 04:36:41 PM

COMPREHENSIVE INSPECTION
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:SO. BAY FAM. YMCA - ROSEBANK ELEM.FACILITY NUMBER:
370805284
ADMINISTRATOR:JULIE ARTEAGAFACILITY TYPE:
840
ADDRESS:80 FLOWER STREETTELEPHONE:
(619) 422-8329
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:56CENSUS: 20DATE:
12/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Site Supervisor Julie ArteagaTIME COMPLETED:
04:40 PM
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LPA Luigi Gargaro visited the facility to conduct a comprehensive site inspection. Upon arrival LPA met with site supervisor Julie Arteaga. During today's visit, there were 20 children present being supervised by site supervisor Arteaga and teacher Cristian Benitez in room 901. The children were engaged in reading and play activities during the visit. The auditorium is also approved for overflow supervision for the program but was not in use during today's visit. Site Supervisor states that the program has not used the auditorium for an extended period of time and primarily uses room 901 for care. Supervisor stated that auditorium is now primarily used by the exempt Dash program. Analyst will contact program director to determine further use status of school auditorium for program. Room 901 is sufficiently equipped to meet child and program needs. Appropriate care & visual supervision were observed during the visit.

Furniture and age appropriate equipment is in good condition. Care area has adequate heating, lighting and ventilation. Children's bathrooms are located in main school building (in between the 300 and 400 and the 500 and 600 building areas), across the courtyard area (two separate boys and girls bathrooms). Bathrooms have doors that provide privacy. Staff shall ensure that children be escorted to/from the bathrooms. Paper towels and toilet paper are available in both restrooms. Bathrooms are lighted and have ventilation. Snack menu is posted and sufficient snacks are available for the children in care. Drinking fountains are available inside the classroom and outside the care areas. Cleaning supplies are stored in locked cabinet, inaccessible to children. Facility is open in the mornings from 6:00AM to 8:45AM and from 3:00PM to 6:30PM. A separate staff restroom is available. Isolation areas for ill children are typically open, available classroom corners on a mat until parent pick up. The playground is the gated blacktop area located immediately behind the classroom. Equipment is age appropriate. Children have access to facility water fountains for drinking water.

LPA reviewed sign in sheets and found them to be in compliance. Personnel records contain health screenings and children’s records contain emergency information and medical assessments. At least one staff member has current CPR and First Aid certifications. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Fire and disaster drills were last conducted on 11/13/19.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019
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: SO. BAY FAM. YMCA - ROSEBANK ELEM.
FACILITY NUMBER: 370805284
VISIT DATE: 12/18/2019
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The program currently has one child who is monitored for blood glucose levels but no related medication is administered on site. Analyst reviewed the facility documentation for the student and found it to be in order. 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 and director discussed California Megan's Law and he provided director with the website address: www.meganslaw.ca.gov for her to review information regarding her facility on a regular basis. Site Supervisor states that currently two children are receiving Incidental Medical Services in the form of inhaled medications. Medication is kept in a backpack that is inaccessible to children but is carried by staff when children are outdoors. Analyst reviewed medication and documentation and found them to be in order.

No deficiencies are cited as the facility appeared to be in substantial compliance during today’s visit. Site supervisor was provided with Notice Of Site Visit to post in notice area for 30 days.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019
LIC809 (FAS) - (06/04)
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