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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600826
Report Date: 12/03/2019
Date Signed: 12/03/2019 04:48:31 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:NHA - CHOLLAS VIEW HEAD STARTFACILITY NUMBER:
376600826
ADMINISTRATOR:FERRUSCA, ELIZABETHFACILITY TYPE:
850
ADDRESS:918 NO. 47TH STREETTELEPHONE:
(619) 263-1780
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:45CENSUS: 5DATE:
12/03/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Elizabeth Ferrusca/Site SupervisorTIME COMPLETED:
04:55 PM
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Case Management conducted by Licensing Program Analyst (LPA) Selina Siao for the purpose of capacity increase to 60. Upon arrival, LPA Siao met with Site Supervisor Elizabeth Ferrusca and conducted a census count of the children in care. 5 children were at the playground with staff members Blanca Valdez and Bertha Perez. Staff members have the required background clearances and are associated to the facility. Site Supervisor stated that the children are in care Monday to Friday from 7-5:30pm.

This facility is currently licensed for 45 children in classrooms 1 and 2. Licensee representative submitted a capacity increase application to add classroom 3 and additional restroom for children.

Room 3 was inspected and measured at 732.88 square feet, which is sufficient to accommodate up to 20 children. The room is equipped with age appropriate equipment, furniture, supplies and materials. There is a bathroom located next to classroom 3 with 2 sinks and 2 toilets available for children. Water dispenser or water pitcher will be placed in the classroom and be available for children.

Children are to be escorted and supervised by staff to and from the restrooms. Direct visual observation is required when children are in care. The facility has a total of 5 sinks and 5 toilets available for children.

The playground was previously measured at 4652 square feet, which is sufficient for 62 children.

Facility appears to be in substantial compliance, the fire clearance of 60 children was granted on 11/19/2019. Capacity increase is granted effective today. Notice of site visit was posted during today's inspection.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019
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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