370806417-10-24-2019-20-CC-YBAZ-BH9QNU-20191024121944

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 370806417
Report Date: 10/24/2019
Date Signed: 10/24/2019 12:19:51 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:	SUNSET STATE PRESCHOOL		FACILITY NUMBER:	370806417
ADMINISTRATOR:	EFRAIN BURCIAGA		FACILITY TYPE:	850
ADDRESS:	3825 SUNSET LANE		TELEPHONE:	(619) 428-4476
CITY:	SAN YSIDRO	STATE: CA	ZIP CODE:	92173
CAPACITY:	72	CENSUS: 6	DATE:	10/24/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Claudia Uribe		TIME COMPLETED:	12:30 PM

NARRATIVE

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Licensing Program Analyst (LPA) Yolanda Baez visited the facility to conduct an annual random inspection. Upon arrival LPA met with Site Supervisor, Claudia Uribe, and proceeded to tour the facility. Director, Lorena Reed, arrived within 20 minutes. The follow ratios were observed:

Room 33 (Half day classroom, serves children 3 - 5 years of age):

1 child was present with 3 staff members

Room 34 (Half day classroom, serves children 3 -5 years of age):

this classroom is a part of the head start program and operates Monday through Thursday
5 children were present with 3 staff members

Room 35 (Half day classroom, serves children 3 - 5 years of age):

There were not any children or staff members present

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. Lunches are prepared by the elementary school and brought to the preschool program and storage containers for solid waste are covered. 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. Storage area for poisons is locked. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, and are in good repair. Outdoor play area is fenced with sufficient material for cushioning. Area has canopies used for shade. There are no bodies of water at this facility. Site Supervisor stated that there are no firearms or ammunition present at the facility. The last emergency drill was conducted on 08/14/2019. There is an operational carbon monoxide detector at the facility. Staff records were reviewed and contain documentation of education, training, and/or experience. Menus are posted. Sign in/sign out sheets are well maintained. ...CONTINUED ON PAGE 2...

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda Baez	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019

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: SUNSET STATE PRESCHOOL	FACILITY NUMBER: 370806417
	VISIT DATE: 10/24/2019

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Several children's files were reviewed and are in compliance. First Aid/CPR needs to be reviewed at the office located at 1880 Smythe Ave. Immunization law (SB792) was discussed with Site Supervisor and she understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza. An annual continuation will have to be conducted to check center's compliance with SB792 at the Main Preschool Office located 1880 Smythe Ave.

LPA Baez discussed the Mandated Reporter training, AB1207. LPA Baez reminded Site Supervisor that all staff members are to take the training and have the printed certificates present at the facility and available for review. An annual continuation will have to be conducted to check center's compliance with AB1207 at the Main Preschool Office located 1880 Smythe Ave.

LPA reviewed the following with Director: IMS, SIDS, Car seat Law, Shaken Baby Syndrome, the updated CDPH 286 form for "Pre-Kindergarten and School Immunization Record" and Director stated that he understands. This facility does provide Incidental Medical Services- IMS and a written plan of operation has already been submitted to CCL and is on file for the center. 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 http://www.ada.gov/childqanda.htm

There were not any deficiencies issued throughout the areas that were inspected today. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed the posting the Notice of Site Visit.

Duty Line: (619) 767-2248, Monday through Friday from 8am to 5pm. To access our Regulation and Forms please use our WEBSITE: http://ccld.ca.gov

LPA discussed updating the ages that the facility serves because it currently reflects that the facility serves children 2 to 5 years of age but Site Supervisor informed LPA that the center only serves children 3 to 5 years of age. An LIC200A was provided.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda Baez	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019

LIC809 (FAS) - (06/04)

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