370806519-12-18-2019-20-CC-LGAO-BJZ52G-20191218183420

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 370806519
Report Date: 12/18/2019
Date Signed: 12/18/2019 06:34:25 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 - CLEAR VIEW ELEM.		FACILITY NUMBER:	370806519
ADMINISTRATOR:	ADRIAN ARAIZA		FACILITY TYPE:	840
ADDRESS:	455 WINDROSE WAY		TELEPHONE:	(619) 498-3000
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY:	56	CENSUS: 17	DATE:	12/18/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	05:00 PM
MET WITH:	Site Supervisor Adrian Araiza		TIME COMPLETED:	06:30 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	LPA Luigi Gargaro visited the facility to conduct a comprehensive site inspection. Upon arrival LPA met with site supervisor Adrian Araiza. During today's visit, there were 17 children present being supervised by site supervisor Araiza and teachers Natassia Ermino and Nyssa Gonzalez in room 800. The children were engaged in play activities during the visit. The multi-purpose room is also approved for overflow supervision for the program but site supervisor advised analyst that it is used typically only during morning times when there might be weather that would prevent children from being outside. 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 detached building across the courtyard area (separate boys and girls bathrooms). Bathrooms have doors that provide privacy. Staff shall ensure that children be escorted to/from the bathrooms. Hand dryers 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 the outside care areas. Cleaning supplies are stored in locked cabinet, inaccessible to children. Facility is open in the mornings from 6:00AM to 8:45AM Monday-Friday and from 3:07PM to 6:30PM Monday-Thursday and then 2:07PM to 6:30PM on Friday. 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 in front of the classroom. Equipment is age appropriate. Children have access to facility water fountains for drinking water and children also have their own water bottles. 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 Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (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 - CLEAR VIEW ELEM.	FACILITY NUMBER: 370806519
	VISIT DATE: 12/18/2019

NARRATIVE

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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 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 Site Supervisor discussed California Megan's Law and he provided supervisor with the website address: www.meganslaw.ca.gov for him to review information regarding his facility on a regular basis. Site Supervisor states that currently three 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 Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (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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