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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600330
Report Date: 06/24/2019
Date Signed: 06/24/2019 04:01:28 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:KINDERCARE JAMACHA SCHOOL AGEFACILITY NUMBER:
376600330
ADMINISTRATOR:MEGAN FIEGEFACILITY TYPE:
840
ADDRESS:1470 JAMACHA ROADTELEPHONE:
(619) 588-5959
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:24CENSUS: 6DATE:
06/24/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:51 PM
MET WITH:Megan FiegeTIME COMPLETED:
04:10 PM
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Licensing Program Analyst Vicky Williamson conducted an annual random inspection. The school age program operates Monday - Friday from 6:00 PM to 6:30 PM. Monday - Friday. School age classroom had 6 children present with 1 teacher. Children were observed under supervision and participating in various indoor activities.

The classroom has lighting, heating, and ventilation. There is a restroom inside of the classroom. LPA reminded staff to provide visual supervision to children while utilizing the restroom. All floors appeared to be clean and safe. Furniture including tables, chairs and equipment appeared to be in good condition. Trash cans containing discarded food have tight-fitting covers. Facility appears to be free of flies, other insects and rodents. Disinfectants, cleaning solutions and other hazardous items were locked and inaccessible to children. Menu is posted monthly. The surface of the outdoor activity space is maintained in a safe condition and free of hazards. Drinking water is available inside the classrooms and on the playground. Sign in/ sign out sheets were reviewed showing staff and parent/guardian’s signature and time of day recorded.

Children's records, including medical assessment and facility roster were all reviewed. Staff records, including health screening, immunization records and transcripts were reviewed to verify teacher qualifications and experience. Opening and closing staff members have current CPR and First Aid certifications. A review of staff records on 6/24/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2019
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 2
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: KINDERCARE JAMACHA SCHOOL AGE
FACILITY NUMBER: 376600330
VISIT DATE: 06/24/2019
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LPA and Director reviewed reporting requirements and car seat law. Director was provided information on the Effects of Lead Exposure.

Director provided updated form LIC 500 and parent handbook to LPA during time of inspection.



No deficiencies cited during today's inspection. Facility was provided a copy of the appeal rights form LIC 9058 and the signature on this form acknowledges receipt of these rights.

The Notice of Site Visit (LIC 9213) was provided to be posted at the facility for 30 days. LPA observed form LIC 9213 posted.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2019
LIC809 (FAS) - (06/04)
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