370806511-7-30-2021-20-CC-ACAN-C5EJ3V-20210730064211

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 370806511
Report Date: 07/29/2021
Date Signed: 07/30/2021 06:42:34 AM

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:	SOUTH BAY FAMILY YMCA - DISCOVERY ELEMENTARY		FACILITY NUMBER:	370806511
ADMINISTRATOR:	BREANNA CASTRO		FACILITY TYPE:	840
ADDRESS:	1100 CAMINO BISCAY		TELEPHONE:	(619) 656-0797
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY:	98	CENSUS: 20	DATE:	07/29/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Breanna Castro		TIME COMPLETED:	04:30 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	On 07/29/21 at 3:30pm, LPA Adrian Castellon completed an un-announced annual site inspection today. The purpose of the visit is to ensure the facility is maintaining the health and safety standards as required by Community Care Licensing (CCL) Regulations governing Child Care Centers. LPA Castellon met with Director Breanna Castro, a total of 20 children were present during the inspection. LPA Castellon observed children being properly supervised in outdoor play areas, with proper number of staff to meet capacity ratios. This School Age Program currently operates at Discovery Elementary School in the following rooms: The Auditorium and classrooms 305 and 302. LPA toured the facility and reviewed sign in and out sheets, menus, rest room areas, classroom and equipment to ensure compliance with CCL Regulations. Children’s records (digital) were reviewed, proper forms were in order, facility roster was up to date. Emergency exit drills requirement was discussed. Per tour of the classrooms and auditorium, LPA observed a variety of age-appropriate equipment available for children’s use. Storage areas were verified to be properly locked and inaccessible, waste baskets were properly covered and drinking water was available for children in classrooms and outdoor play areas. Outside playground areas were toured and verified to be properly fenced, with proper shade available for children. There were operational Type II 10ABC fire extinguishers and working smoke and carbon monoxide alarms in the facility, CPR, First Aid and Mandated Reporter certificates were verified to be up to date for all staff. 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 or exemptions.

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021

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: SOUTH BAY FAMILY YMCA - DISCOVERY ELEMENTARY	FACILITY NUMBER: 370806511
	VISIT DATE: 07/29/2021

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed.The facility provides IMS care. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. The facility has a current IMS plan in place, which has been submitted and approved by licensing office. 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

Per new Senate Bill 792 pertaining to immunizations, which require all adults in daycare operation to have proof of immunizations for; Measles, Pertussis and Influenza, verification of required immunizations was available and facility is in full compliance.
LPA discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. website to licensee.

There are no deficiencies cited on this visit, all documentation was in order, properly posted and the facility was found to be properly childproofed.

LPA Castellon will email a copy of LIC 9213 (NOTICE OF SITE VISIT) and LIC809 (LICENSING REPORT) to facility staff.

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021

LIC809 (FAS) - (06/04)

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