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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105040
Report Date: 04/05/2021
Date Signed: 04/05/2021 04:22:14 PM

Document Has Been Signed on 04/05/2021 04:22 PM - 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:KLASSIC KIDS - GREEN ELEMENTARY SCHOOLFACILITY NUMBER:
376105040
ADMINISTRATOR:KRISTEN GONZALEZFACILITY TYPE:
840
ADDRESS:7030 WANDERMERE DRIVETELEPHONE:
(858) 603-9215
CITY:SAN DIEGOSTATE: CAZIP CODE:
92119
CAPACITY: 100TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/05/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Kristen Gonzalez & Heather BallardTIME COMPLETED:
03:00 PM
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On 04/05/2021 at 2pm, Licensing Program Analyst, Samantha Salunga, conducted an announced Pre-Licensing inspection. LPA met with Kristen Gonzalez (Program Manager) and Heather Ballard (Site Director). Ms. Ballard meets qualification requirements with the exception of the administration course which will need to be completed 12 months from the date of licensure. The School-Age Program will operate in the following classrooms: art room, multi-purpose room, music room and library. Fire clearance was granted on 03/23/2021. Facility is exempt from indoor and outdoor square footage per Title 22, sections 101538.2(c) and 101538.3(c). No measuring of any sort was conducted today. LPA inspected all indoor and outdoor play space. Age-appropriate toys, supplies and equipment were observed available in all indoor and outdoor activity space. There are two playground areas that are fenced and consists of grass, rubber matting, blacktop, and cement. There are tress and canopies used for shade. There are toilets and sinks throughout the facility which allows individual privacy. Toilet facilities are located left of the multi-purpose room and outdoor playground area. Toilet facilities shall not be utilized simultaneously by child of both sexes. There is a separate staff restroom which is also utilized as the isolation restroom. There is an operational carbon monoxide detector located in the multi-purpose room. First Aid Kit and medications are kept in the office. Isolation area is located in the office. Cleaning supplies and other toxics are inaccessible to children through latches, locks and/or placed on high surfaces. Drinking water is readily accessible via water stations and the children are to bring their own water bottles. Extra water bottles will be present for emergencies. Ms. Gonzalez and Ms. Ballard were reminded to keep anything that reads, “Keep Out of Reach of Children” inaccessible to children. This facility plans to provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS was submitted for epi-pen, inhaler, and blood glucose monitoring. 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.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Salunga
LICENSING EVALUATOR SIGNATURE: DATE: 04/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/05/2021
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: KLASSIC KIDS - GREEN ELEMENTARY SCHOOL
FACILITY NUMBER: 376105040
VISIT DATE: 04/05/2021
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 LPA and Ms. Gonzalez and Ms. Ballard discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. Ms. Gonzalez and Ms. Ballard both state their understanding that all staff must have a criminal record clearance and be associated to the facility prior to having a presence in the Center. Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov and click on “Receive Important Updates,” then enter your email address and choose which program(s) you would like to subscribe to and click “subscribe.”

Exit interview was conducted. A license for 100 children (ages TK-12 years old) may be granted upon final file review. Ms. Gonzalez and Ms. Ballard were provided a copy of this report along with their appeal rights (LIC 9058 12/15) via email. Both were advised to reply to the email within 24 hours confirming receipt. This will act as their signature for today's inspection. This report shall be kept available at the facility for public review for 3 years.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Salunga
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2021
LIC809 (FAS) - (06/04)
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