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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006470
Report Date: 07/10/2019
Date Signed: 07/10/2019 01:30:18 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:KLASSIC KIDS DAY CARE- HAGE ELEMENTARYFACILITY NUMBER:
372006470
ADMINISTRATOR:PATRICIA PEREZFACILITY TYPE:
840
ADDRESS:9750 GALVIN AVE.TELEPHONE:
(858) 265-9552
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:75CENSUS: 38DATE:
07/10/2019
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Patricia Perez, Facility DirectorTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA), Marie Hernandez, conducted the Case Management- Annual Continuation inspection. LPA met with the Facility Director, Patricia Perez, Present during today's inspection are five staff with thirty eight children. The facility is compliant with the ratios during today's inspection. On 07/02/2019, LPA conducted the random/annual inspection, however, the Director, staff and the children were on a field trip on that day. LPA was unable to conduct a record review of staff's and children's records. During today's inspection, LPA verified that the facility has maintained the disaster/fire drills; the last drill was conducted on 06/17/2019. LPA also reviewed staff's and children's records. The staff that opens/closes and the Director have a current pediatric first aid/CPR; it expires on 04/2021. LPA verified the staff's immunization records and their AB 1207 Mandated Child Abuse Reporting certification. The Director was reminded that the AB 1207 must be renewed every two years.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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.

No deficiency was cited today. An exit interview was conducted and a copy of the report, and the Notice of Site Visit was provided to the Director. LPA observed the Director post the Notice of Site Visit in a prominent place. The Director states it is understood that this notice must be posted for 30 days.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2224
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019
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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