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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105058
Report Date: 07/01/2021
Date Signed: 07/01/2021 04:22:12 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:DOT TO DOTFACILITY NUMBER:
376105058
ADMINISTRATOR:ADRIANA RUTHERFORDFACILITY TYPE:
850
ADDRESS:5550 CARMEL MOUNTAIN ROAD #113TELEPHONE:
(858) 207-7949
CITY:SAN DIEGOSTATE: CAZIP CODE:
92130
CAPACITY:109CENSUS: 0DATE:
07/01/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mazi Irani & Adriana RutherfordTIME COMPLETED:
02:00 PM
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On 07/01/2021 at 10:00am, Licensing Program Analyst (LPA), Samantha Salunga conducted a Pre-Licensing inspection. LPA met with Owner/Applicant, Mahzad (Mazi) Irani and the designated Site Director, Adriana (Rivera) Rutherford. The Preschool Program will operate in the following classrooms: Sprouts, Sprout B, Roots A, Roots B, Stems and Buds. The Toddler Program will operate in the Seedlings classroom. Fire clearance was granted on 06/22/2021. All indoor and outdoor activity space was measured today as follows:
· Seedlings (Toddler Room)- 461.14 sq. ft.
· Sprouts- 539.01 sq. ft.
· Sprouts B- 494.76 sq. ft.
· Roots A- 550.24 sq. ft.
· Roots B- 570.95 sq. ft.
· Stems- 545.62 sq. ft.
· Buds- 547.77 sq. ft.
The total indoor play space measured at approximately 3,709.49 sq. ft., which will accommodate a total of 105 children. The total preschool outdoor play space measured at approximately 4,012 sq. ft. which will accommodate a total of 53 children at one time. Toddler outdoor play area measured at approximately 750.6. sq. ft. which will accommodate a total of 10 children at one time. Toddler play areas indoors and outdoors are physically separate from the preschool areas. However, there is a fence and chick coop that is dividing the preschool and toddler outdoor play area. The side that the chicken coop is on is a little over one foot. LPA requested that an extension be placed so that it aligns with the 2.10 ft rot iron fence that takes up half of the separation. LPA observed all indoor play space to be complete with age-appropriate furniture and equipment, including tables, chairs, napping cots, bookshelves, and other activity supplies for the children. There are a total of total of 6 toilets (sufficient for 90 children) and 13 sinks (sufficient for 195 children) available for the children. See 809C for continuation...
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: DOT TO DOT
FACILITY NUMBER: 376105058
VISIT DATE: 07/01/2021
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(PAGE 2 of 3) Children are to be escorted and supervised by staff to and from the bathroom and under direct visual observation. There is a staff restroom located near the front area of the building. The Director's office and staff restroom will be the isolation area for children who are ill. There is an operational carbon monoxide detector on site located in the bathroom between the Roots B, Buds and Stems classrooms. Sign-in area is located in the front entryway. 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 several trees and canopies used for shade. Area is fenced, has age appropriate play equipment, and sufficient turf/rubber matting for cushioning under the slides and climbing structures. Drinking water is readily accessible via water bottles and refillable water station.

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. 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

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 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
  • Obtain preschool and toddler playground waivers
  • Extend the fence on top of the chick coop dividing the preschool and toddler outdoor play space
  • Install and/or obtain cubbies to store in each classroom for the children’s belongings
  • Place a toddler sign in one of the stall bathrooms located adjacent to the toddler classroom
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: DOT TO DOT
FACILITY NUMBER: 376105058
VISIT DATE: 07/01/2021
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(PAGE 3 of 3)

Due to computer malfunction, LPA typed up and read this report to Ms. Irani and Ms. Rivera via telephone after the inspection was concluded. Exit interview was conducted. The maximum capacity that the facility can be licensed for is 90 children due to having only 6 toilets available for children. Once corrections have been made and submitted, a preschool license for 90 children (ages 18 months to Kindergarten) may be granted upon final file review. This report will be emailed to Ms. Irani and shall be kept available at the facility for public review for 3 years.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3