376105059-7-28-2021-51-CC-SSIO-C5CW3Y-20210728165644

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376105059
Report Date: 07/28/2021
Date Signed: 07/28/2021 04:56:54 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:	ELM PARK PRESCHOOL ACADEMY		FACILITY NUMBER:	376105059
ADMINISTRATOR:	DENISE BACOY		FACILITY TYPE:	850
ADDRESS:	13501 COMMUNITY ROAD		TELEPHONE:	(619) 888-4485
CITY:	POWAY	STATE: CA	ZIP CODE:	92064
CAPACITY:	49	CENSUS: 0	DATE:	07/28/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Denise Bacoy and Anthony Bacoy		TIME COMPLETED:	05:00 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 07/28/2021 at 2:30pm, Licensing Program Analyst (LPA) Selina Siao, conducted an announced Pre-Licensing inspection. LPA met with Applicant Anthony Bacoy and Applicant representative Denise Bacoy. This is a change of ownership application, with no changes being made to the physical plant. The children have left for the day during the summer. The designated Director is Denise Bacoy who meets the qualification requirements. Fire clearance was granted on 7/01/2021. All indoor and outdoor activity space utilized for the children was inspected and measured today. Indoor: Room 1 measures 509.10 square feet, Room 2 measures 429.96, Room 3 measures 1633.91. Building 2: Room 3 measures 307.22. Total indoor activity space is 2880.19 square feet, which will accommodate a total of 82 children. Outdoor: Previously measures 11616.25 square feet, which will accommodate no more than 154 children at one time. All rooms were equipped with age-appropriate furniture and equipment, including tables, chairs, cubbies, nap mats etc. There is a total of 5 toilets and 5 sinks. Children are to be escorted and supervised by staff to and from the bathroom and direct visual observation is required. There is a separate bathroom for staff located in building 2, equipped with 1 toilet and 1 sink and is also designated for use by children who are ill. There is a carbon monoxide detector, smoke alarm and first aid kit available. The food prep area is in the kitchen in building 2 and it's use to prepare for AM and PM snacks. Children brings their own lunch from home. All required documents are posted in the office and facility representative is planning to put it outside near the playground entrance.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021

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: ELM PARK PRESCHOOL ACADEMY	FACILITY NUMBER: 376105059
	VISIT DATE: 07/28/2021

NARRATIVE

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The outdoor play area was inspected. LPA observed 2 separate playgrounds, one for older preschool children and the smaller playground is for 2 to 3 years old. Both areas are completely fenced, have trees and tarp for shade, drinking water will be available outside when children are playing, age appropriate play equipment, and sufficient cushioning (wood chips) under the climbing structures.

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 must be submitted to the Department. 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 discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Applicant was reminded 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.”

Prior to licensure, the following is needed:
Submit an update employee handbook

Exit interview was conducted. Once all documents are received and a final file review is conducted, a license for 48 children will be granted. The applicant was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. 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: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021

LIC809 (FAS) - (06/04)

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