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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006405
Report Date: 05/10/2022
Date Signed: 05/10/2022 10:43:06 AM


Document Has Been Signed on 05/10/2022 10:43 AM - It Cannot Be Edited

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:POWAY UNIFIED SCHOOL DISTRICT - VALLEY ELEMENTARYFACILITY NUMBER:
372006405
ADMINISTRATOR:ELIZABETH ZELAYAFACILITY TYPE:
850
ADDRESS:13000 BOWRON ROADTELEPHONE:
(858) 748-2007
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:60CENSUS: 38DATE:
05/10/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Kristie SpillaneTIME COMPLETED:
11:00 AM
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On 5/10/22 Licensing Program Analysts (LPAs) Patrick Ma and Selina Siao conducted an unannounced case management inspection for the increase of capacity requested 3/15/22. During the visit there were 38 children in care and 6 staff members in room PS2 and PS 7. Room PS9 is used as a parent exempt co-op.  Facility was in ratio and capacity. 

Facility is currently licensed for 60  children in rooms PS2, PS7, and PS9. Facility is requesting an increase of 8 children to a total of 68 children.
 
All three class rooms were previously measured to be a total of 2448.32 sq. ft which is sufficient for the requested capacity increase of 69 children.  The measurements were verified during today’s inspection.  There are 5 toilets and 6 sinks available for children sufficient for 75 children (1 toilet/sink = 15 kids).
 
Outdoor playground is measured at 114.37 sq.ft. for a maximum capacity of 114 children.   
 
Facility appears to be in compliance, the fire clearance for 68 children was granted on 03/25/2022.  Capacity increase is granted effective today.  
 
Exit interview conducted and report was reviewed with the facility representative Kristie Spillane. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick MaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 05/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/10/2022
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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