370805311-10-29-2019-20-CC-SSAA-BHEQF7-20191029120728

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 370805311
Report Date: 10/29/2019
Date Signed: 10/29/2019 12:07:33 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:	SANTA SOPHIA PRESCHOOL		FACILITY NUMBER:	370805311
ADMINISTRATOR:	WOOLEVER, TANNETTE		FACILITY TYPE:	850
ADDRESS:	9800 SAN JUAN ST		TELEPHONE:	(619) 668-5464
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	91977
CAPACITY:	60	CENSUS: 45	DATE:	10/29/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Tannette Woolever		TIME COMPLETED:	12:30 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	Licensing Program Analyst (LPA) Samantha Salunga visited the facility for the purpose to conduct an annual random inspection. Upon arrival LPA met with Director, Tannette Woolever, and proceeded to tour the facility. Also present were a total of 45 children in the following classrooms: Room 2: 13 children with Sadie Serramannion and Rain Salas Room 3: 17 children with Saide Rodriguez and Jessica Factuar-Armenta Room 4: 15 children with Elizabeth Dixon and Amanda Perez Appropriate ratios and capacity were observed. Furniture and age appropriate equipment is in good condition indoors and outdoors. Children's toilets and hand washing facilities are sanitary. Rooms are safe and clean. Drinking water is readily accessible inside and outside the classroom. All disinfectants, cleaning solutions, and other hazardous items are inaccessible to children through latches and locks. Outdoor play area is fenced with adequate material for cushioning. Area has canopies/trees used for shade. There are no bodies of water or weapons at this facility. No excluded individuals are present. Last fire drill was conducted and documented on 09/25/2019. There is an operational carbon monoxide detector located in the nap room and kitchen. First Aid/CPR reviewed and in compliance. Sign in/sign out sheets are well maintained. Admission Agreement forms reviewed for some children. Staff records contain documentation of education, training, and/or experience. Immunization records per SB792 and Mandated Reporter Training Certificates per AB1207 was reviewed and in compliance. 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

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Salunga	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019

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: SANTA SOPHIA PRESCHOOL	FACILITY NUMBER: 370805311
	VISIT DATE: 10/29/2019

NARRATIVE

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Director was advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information.
Duty Line was provided: (619) 767-2248. LPA also discussed California Megan's Law and LPA provided Director with the following website: www.meganslaw.ca.gov

No deficiencies observed in the areas inspected during today's visit.
NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Director post notice of site visit.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Salunga	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019

LIC809 (FAS) - (06/04)

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