376600752-7-26-2021-51-CC-SSIO-C5AUKX-20210726153953

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376600752
Report Date: 07/26/2021
Date Signed: 07/26/2021 03:40:02 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:	MERRY-GO-AROUND INFANT, THE		FACILITY NUMBER:	376600752
ADMINISTRATOR:	YVETTE JACKSON		FACILITY TYPE:	830
ADDRESS:	9175 KEARNY VILLA ROAD		TELEPHONE:	(858) 536-1008
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92126
CAPACITY:	38	CENSUS: 21	DATE:	07/26/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:01 PM
MET WITH:	Yvette Jackson		TIME COMPLETED:	03:50 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	(1) On 07/26/2021 at 2:01PM, Licensing Program Analyst (LPA)Selina Siao conducted an unannounced random site inspection. Upon arrival, LPA met with Director Yvette Jackson and proceeded to tour the facility. All required notices, forms and licenses were posted. The following ratios were observed: Infant 1 room had 7 awake infants at the activity area and 1 infant napping in the crib area with teachers Raquel Ramos and Amy Fessenden. Infant 2 room had 4 infants napping on cots supervised by teacher Zulfia Hamzina. Toddler Room had 9 children napping supervised by teacher Karina Sayas. Appropriate ratio were observed during the inspection. Furniture and age appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation and portable drinking water are available in the classrooms. Storage cubbies are readily available, and room accommodates class size. Napping equipment consists of cribs and cots for older infants and toddlers. Each cot and crib has its own sheet or covering. Food service area consists of a kitchen which is clean and free of hazards. Monthly menu is posted. Adequate food is available for meals and snacks. The infants food and bottles in the Infant 1 classroom are labeled with the child's name and date. Cleaning supplies are kept out of reach of children. Outdoor play area is a fenced playground with sufficient rubber cushioning. Climbing structure and slide is securely fixed to the ground. Area has multiple tarp shades at the playground. Equipment is age appropriate and separated by age groups, infant and preschool. Portable drinking water with cups are available for the children. The grounds are free of debris or potential hazards. Facility uses a electronic sign in and out system. LPA reviewed first aid supplies and reviewed medication policy and storage, all areas are within compliance. Isolation area is the Director and Program Coordinator's office.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021

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 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: MERRY-GO-AROUND INFANT, THE	FACILITY NUMBER: 376600752
	VISIT DATE: 07/26/2021

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
26
27
28
29
30
31
32

Personnel and client records were reviewed and staff members have the required immunizations and completed the online mandated reporter training. Reporting requirements was also reviewed. All personnel have required criminal record and child abuse index clearances or exemptions. Safe sleeping plan form LIC9227 are in the young infants files and facility uses a electronic monitoring system to check the infants every 15 minutes during their nap time for children 0-24 months. LPA reviewed Emergency Disaster Plan and last fire drill was conducted on 06/04/2021. Facility has an operating carbon monoxide detector. Facility has at least one staff member that has a valid EMSA approved CPR/FA when children are in care.

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

The following items were discussed with provider: Director was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. Director will be provided with information about Heat Related Illness, Sudden Infant Death Syndrome (SIDS), Never Shake a Baby, safe sleep for infants, best practice on supervision, latest car seat poster and effects of lead exposure and reporting responsibilities were discussed. The ABC’S of Safe Sleep: Sleep is Safest: Alone, on their Back in an empty Crib on a firm mattress.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov . LPA discussed California Megan's Law with facility representative :www.meganslaw.ca.gov.

No citation issue. An exit interview was conducted, and appeal rights were provided. A notice of site visit was provided and to be posted at the facility for 30 days. Failure to keep notice posted will result in a civil penalty of $100.00.

An updated LIC500 Personnel Report and LIC610 Emergency Disaster Plan along with the latest Parent Handbook to Licensing within 10 days.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2