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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600164
Report Date: 12/04/2019
Date Signed: 12/04/2019 04:04:47 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:MISSION NAZARENE PRESCHOOL-INFANTFACILITY NUMBER:
376600164
ADMINISTRATOR:ANGELA SIROTAFACILITY TYPE:
830
ADDRESS:4750 MISSION GORGE PLACETELEPHONE:
(619) 287-4900
CITY:SAN DIEGOSTATE: CAZIP CODE:
92120
CAPACITY:36CENSUS: 26DATE:
12/04/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:01 PM
MET WITH:Angela SirotaTIME COMPLETED:
04:15 PM
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Licensing Program Analysts (LPA) Samantha Salunga and Tyra Block visited the facility for the purpose to conduct an annual random inspection. Upon arrival LPA's met with Director, Angela Sirota and Assistant Director, Sarah Love, and proceeded to tour the facility. Also present were a total of 26 children in the following classrooms:
  • Room 401 (seals)- 9 children with Celestine Thompson, Kathleen Parsons and Carmen Ramirez
  • Room 403 (turtles)- 9 children with Brianna Estrada and Maeugenia Saad
  • Room 404 (snails)- 8 children with Destiny Ramirez, Jessica Lopez and Angelica Oropeza
Appropriate ratios and capacity were observed. There are no bodies of water or weapons at this facility. Toys are safe and do not have sharp points, edges or splinters, or made of small parts that can be pulled off. There is sufficient infant napping equipment. Infant changing tables have padded surface no less than one inch thick, covered with washable vinyl, and raised sides at least 3 inches high. There are no walkers, bouncy seats, exersaucers or jumpers in the room. All infants including those napping in cribs are under visual observation at all times. Rooms have adequate heating, lighting, and ventilation. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, and are in good repair. Disinfectants, hazardous items and medications are inaccessible to children through latches and locks. The infant indoor and outdoor activity space is physically separate from the space used by other day care children. Outdoor play area is fenced with sufficient material for cushioning. Area has canopies used for shade. Infant room has a refrigerator used for infant food storage which is properly labeled by child name and is taken home daily. There is an Individual Feeding and Needs and Services Plan which was reviewed and properly updated. Last fire drill was conducted and documented on 11/15/2019. Drinking water is readily accessible inside and outside the classroom. Personnel records were reviewed for qualifications. Staff utilized as infant teachers have three child development units in infant/toddler care. All personnel have required criminal record and child abuse index clearances. Admission Agreement forms reviewed for some children. There is an operational carbon monoxide detector at the facility located in the kitchen. Pediatric CPR/First Aid are current. Sign in/sign out sheets are well maintained. LPA's discussed and provided Director with the Safe sleep Regulation Concepts Handout.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019
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: MISSION NAZARENE PRESCHOOL-INFANT
FACILITY NUMBER: 376600164
VISIT DATE: 12/04/2019
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This facility provides Incidental Medical Services – IMS, however, does not currently have any children enrolled that require it. 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

Director was advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248. LPA's also discussed California Megan's Law and LPA's provided Director with the following website: www.meganslaw.ca.gov

No deficiencies observed in the areas inspected during today's visit.


NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA's observed Director post notice of site visit.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019
LIC809 (FAS) - (06/04)
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