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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006470
Report Date: 07/02/2019
Date Signed: 07/02/2019 01:47:10 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: 0DATE:
07/02/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:David Baxter, Facility RepresentativeTIME COMPLETED:
01:46 PM
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Licensing Program Analyst (LPA), Marie Hernandez, conducted the random/annual and case management inspection. LPA met with the above facility representative. The Representative stated the Director, staff and the children are on a field trip at this time. The Representative stated he does not have access to any records and/or information needed for the inspection. However, the facility also reported to the Licensing Agency that two children ingested some clear white tiny balls (possibly hard plastic or silica) that the child brought from home. The poison control and parents were contacted. Per the interview conducted via phone with the facility representative, Iris IP, the two children were fine with no further incident. The facility was proactive in handling the incident. LPA toured the facility and inspected the classrooms and restrooms, for compliance. There are no bodies of water and/or no fire arms/weapons on the premises during the visit. The disinfectants, cleaning solutions, poisons and other dangerous items are inaccessible to children during the inspection. The storage areas for poisons are locked during the inspection. All materials and surfaces accessible to children are toxic free. The furniture and supplies are age appropriate. The rooms have adequate lighting, and ventilation during the inspection. The drinking water is readily accessible for the children during the inspection. The restrooms are maintained with operational toilets and faucets with appropriate temperature during the inspection.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2224
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019
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: KLASSIC KIDS DAY CARE- HAGE ELEMENTARY
FACILITY NUMBER: 372006470
VISIT DATE: 07/02/2019
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Hand soap, paper towels and toilet paper are available during the inspection. The restrooms are lighted and ventilated during the inspection. The food service area is clean and free of hazards. The menu is posted. There is an adequate supply of food items available for meals and snacks. The outdoor black top was inspected. The cleaning supplies are kept separate from food. All foods/beverages capable of rapid spoiling are stored in covered containers. The facility appears to be free of insects and rodents during the visit. There is an operational carbon monoxide detector during the visit. There is adequate shaded rest area for children during the visit. The Lead Exposure handout was discussed and provided.

This facility provides Incidental Medical Services – IMS. 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.

LPA will have to return at a later date to review staff and children's records.

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 Representative. LPA observed the Representative post the Notice of Site Visit in a prominent place. The Representative 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: 07/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019
LIC809 (FAS) - (06/04)
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