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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600879
Report Date: 09/14/2020
Date Signed: 09/14/2020 05:33:01 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:MIRA MESA CHRISTIAN PRESCHOOLFACILITY NUMBER:
376600879
ADMINISTRATOR:SHARLA ROCHAFACILITY TYPE:
850
ADDRESS:10770 RICKERT ROADTELEPHONE:
(858) 536-2807
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:85CENSUS: 0DATE:
09/14/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:55 PM
MET WITH:Sharla RochaTIME COMPLETED:
05:45 PM
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On 09/14/2020 at 4:55pm, Licensing Program Analyst (LPA) Samantha Salunga, conducted a virtual inspection with the Director, Sharla Rocha. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children prior to granting a temporary waiver for the facility to care for school age children in their preschool program due to COVID-19.

The facility will operate Monday thru Friday from 7:00 a.m. to 6:00 p.m. and will serve children ages 6 thru 12 years old. The facility will use Room B6, which was previously approved by the fire department on 08/28/2020. Check-in will take place at the front of Room B4. If child(ren) become ill during the day, they will rest in the isolation room which is the Director's office. The isolation toilet and sink is located in the staff bathroom. Children’s authorized representative will be contacted immediately for pick up. Department of Public Health will be contacted in regards of any COVID-19 illness.

Children will stay with the same group as assigned and will not be moved from one group to the other. Age appropriate furniture including tables and chairs and are present in room B6 to meet the needs of children in care. There is a designated outdoor playground with age appropriate equipment and activities. All meals/snacks are prepared in the kitchen and served by staff using gloves and masks. Individual water bottles are used and sanitized daily. The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often when necessary following the facility’s cleaning and sanitation policies and guidelines.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2020
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: MIRA MESA CHRISTIAN PRESCHOOL
FACILITY NUMBER: 376600879
VISIT DATE: 09/14/2020
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Health checks on staff and children will be conducted each day upon staff and children’s arrival. Director/Licensee will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public Health guidelines and directives.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility. Facility will be notified when the waiver is granted and can begin operation at that time.

Please feel free to contact the San Diego North Child Care Office at 619-767-2248.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2020
LIC809 (FAS) - (06/04)
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