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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600781
Report Date: 10/11/2021
Date Signed: 10/12/2021 11:56:34 AM

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:SOUTH BAY FAMILY YMCA - MCMILLIN ELEMENTARY SCHOOLFACILITY NUMBER:
376600781
ADMINISTRATOR:JESUS GOMEZFACILITY TYPE:
840
ADDRESS:1201 SANTA CORA AVENUETELEPHONE:
(619) 397-0103
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:98CENSUS: 22DATE:
10/11/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Site SupervisorTIME COMPLETED:
05:30 PM
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On 10/11/21, at 2:00 PM, Licensing Program Analyst (LPA) Luigi Gargaro, conducted an unannounced annual inspection visit and met with site supervisor, Bianca Brugger. LPA disclosed the purpose of the inspection and toured the facility indoors and outdoors. This is a before and after school program which operates on a traditional school year schedule. Days and hours of operation are Monday-Friday from 6:00AM-8:15AM and 2:30PM-6:00PM.
There is currently one classroom, room #201, in operation but the facility also has the library and auditorium as approved supervision areas. Site Supervisor Brugger stated that those areas currently are used minimally but can be used when needed. The facility's license indicates that room #506 is used as the primary day care room. However, analyst met with YMCA Program Coordinator Leo Cruz who was visiting the facility today and was advised that room #201 has always been an approved room on the license and facility changed it to now be used as the primary classroom. The following ratios were observed: today in room #201: 22 children were present under the supervision of the site supervisor Ms. Brugger and staff member, Valeria Diaz.

Analyst was unable to complete the visit today due to time constraints and will return to conduct an unannounced continuation visit on another date. Analyst reviewed the report with site supervisor Brugger, had her sign it and left a copy for her records.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2021
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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