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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806482
Report Date: 05/15/2019
Date Signed: 05/15/2019 12:01:41 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:ECS - SAN YSIDRO HEAD STARTFACILITY NUMBER:
370806482
ADMINISTRATOR:JOAN LANZUGA-BORGONIAFACILITY TYPE:
850
ADDRESS:249 WILLOW ROADTELEPHONE:
(619) 428-6614
CITY:SAN YSIDROSTATE: CAZIP CODE:
92173
CAPACITY:51CENSUS: 30DATE:
05/15/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Georgina JabbariTIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Yolanda Baez visited the facility to conduct an annual random inspection. Upon arrival LPA met with Director, Georgina Jabbari, and proceeded to tour the facility. The follow was observed:

Room 1:
  • There were 14 children present with 2 fully qualified teachers present
Room 2:
  • There were 16 children present with 2 fully qualified teachers 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. Food preparation area is clean, food and beverages are stored in covered containers at 45 degrees F or less if required, and storage containers for solid waste are covered. Drinking water is readily accessible inside of the classroom through water filters and cups and outside of the classroom through igloo containers of water and cups. 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 or weapons at this facility. No excluded individuals are present. Fire drills are being conducted every month, last emergency drill was conducted in 04/2019. There is an operational carbon monoxide detector at the facility. First Aid/CPR reviewed and in compliance. Sign in/sign out sheets are well maintained. Staff records contain documentation of education, training, and/or experience. Menus are posted.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019
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: ECS - SAN YSIDRO HEAD START
FACILITY NUMBER: 370806482
VISIT DATE: 05/15/2019
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This facility does provide Incidental Medical Services- IMS. A written plan of operation has been submitted to CCL and is on file. 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

Immunization law (SB792) was discussed with Director. Director understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza. Facility is complaint with SB792.

LPA Baez discussed the new Mandated Reporter training which is to be implemented 03/30/18. LPA Baez reminded Director that herself and all helpers are to take the training and have the printed certificates present at the facility and available for review, facility is compliant with AB1207.

LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.



There were not any deficiencies issued throughout today's inspection. Notice of Site Visit is to be posted for 30 days.

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
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019
LIC809 (FAS) - (06/04)
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