376105047-4-28-2021-51-CC-SSAA-C2HTQL-20210428145607

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376105047
Report Date: 04/27/2021
Date Signed: 04/28/2021 02:56:35 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:	PRIMROSE SCHOOLS 4S RANCH		FACILITY NUMBER:	376105047
ADMINISTRATOR:	REENA DAYAL		FACILITY TYPE:	830
ADDRESS:	17025 VIA DEL CAMPO		TELEPHONE:	(650) 219-1060
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92127
CAPACITY:	24	CENSUS: 0	DATE:	04/27/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	03:01 PM
MET WITH:	Reena Dayal		TIME COMPLETED:	04:15 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	On 04/27/2021 at 1:30pm, Licensing Program Analyst (LPA), Samantha Salunga conducted an announced Change of Ownership Pre-Licensing inspection. LPA met with Owner/Applicant, Reena Dayal and the designated Site Director, Breeanna Mota. The Infant Program will operate in the following classrooms: 9 and 10. Fire clearance was granted on 04/08/2021. Medications will be stored in kitchen. All indoor and outdoor activity space utilized for the children were previously measured. All areas were inspected today. Facility is requesting 24 children (ages 0-2 years old). The indoor play space measured at approximately 1,348.69 square feet, which can accommodate a total of 38 children. Applicant stated that Room 9 will be used for older infants/toddlers 18 months to 2-years-old and Room 10 will be for infants that are 0-18 months. Room 10 had 4 cribs and Room 9 had sufficient amount of mats for the older infant/toddlers. Both rooms had a changing table within arm’s reach of a sink. The outdoor playground area that Applicant stated she would like to utilize are three separated play areas located on the right hand side of the building. Entire area measured at approximately 1,545 square feet, which will accommodate no more than 20 children at one time. LPA observed all indoor to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, cribs, napping cots, bookshelves, and other activity supplies for the children. Visual observation of all infants shall be maintained at all times. Meals will be prepared in the kitchen and bottles will be prepared in the classroom. There are several staff restrooms located near the front area of the building. The Director's office and restroom will be the isolation area for children who are ill. There is an operational carbon monoxide detector on site located in the kitchen. Sign-in area is located in the front entryway. However, due to COVID-19, drop off and drop in will occur outside the front door. Applicant was reminded to keep anything that reads, “Keep Out of Reach of Children” to be inaccessible to children. Applicant is reminded that any changes to the facility must be reported to and approved by Community Care Licensing. When LPA inspected the outdoor playground, LPA observed there to be pergolas used for shade.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Salunga	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021

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: PRIMROSE SCHOOLS 4S RANCH	FACILITY NUMBER: 376105047
	VISIT DATE: 04/27/2021

NARRATIVE

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Area is completely fenced, has age appropriate play equipment, and sufficient turf cushioning under the slides and climbing structure. Drinking water is readily accessible via water bottles and refillable water jugs. 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. When any IMS is provided, keep an updated Plan of Operation. 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. LPA and applicant discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Applicant states she understands 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 you would like to subscribe to and click subscribe. LPA also shared and reviewed Safe Sleep Regulations, PIN20-24, sample of a Safe Sleep Log, Playground Safety Handbook, Risk in Play article, YMCA Childcare Resource Service, Helping Young Children Cope with Disaster, Active Supervision Handout, and COVID-19 Early Care and Education handout.

Prior to licensure, the following is needed:

Complete and submit the COVID-19 self-assessment guide
Post additional COVID related posters on the walls throughout the facility
Submit updated indoor and outdoor facility sketches
Obtain an outdoor playground waiver
Purchase two more cribs to place in Room 10 in the napping area
Fingerprint clearance and association for Reena Dayal
Required postings must be posted

Exit interview was conducted. Once corrections have been made and submitted, a infant license for 24 children (ages 0-2 years old) may be granted upon final file review. This report shall be kept available at the facility for public review for 3 years.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Salunga	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021

LIC809 (FAS) - (06/04)

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