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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600959
Report Date: 03/13/2023
Date Signed: 03/13/2023 11:31:24 AM


Document Has Been Signed on 03/13/2023 11:31 AM - It Cannot Be Edited

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:LA JOLLA UNITED METHODIST CHURCH - YELLOW COTTAGEFACILITY NUMBER:
376600959
ADMINISTRATOR:ERIN WYERFACILITY TYPE:
850
ADDRESS:6075 LA JOLLA HERMOSA AVENUETELEPHONE:
(858) 454-1418
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:14CENSUS: 12DATE:
03/13/2023
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Director Erin WyerTIME COMPLETED:
11:40 AM
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On 3/13/2023 at 9:50 a.m., Licensing Program Analyst (LPA), Joelle Redding, met with Director, Erin Wyer, for the purpose of an unannounced annual inspection. There were 12 Pre K children present with three teachers. Facility is within ratio and capacity.

LPA toured the facility. The facility is a repurposed cottage with a main classroom, kitchen, two smaller rooms, a bathroom and front and back fenced yard space. The cottage was clean, orderly and a comfortable temperature during this visit. Adequate ventilation and heating are available. Wall heaters have been made inaccessible. The furniture, books, games and toys are safe, age-appropriate and in good repair. There are a variety of activities available throughout the day. All required forms were posted. All storage containers and trashes containing solid waste have tight fitting lids and are in good repair. There is kitchen which is clean and sanitary. Children bring their own lunch and snack. Staff preparing food or assisting with food handling are using proper personal hygiene and food service practices. Emergency snack food has been stored separately from any chemicals or cleaning products. Drinking water is readily available. This is a part day program and there is no napping, just a quiet time. Hand washing and toileting areas are in a safe, sanitary and operating condition. Any waste water used to clean is being discarded after use. Medications are kept in the staff room off the kitchen, inaccessible to children. No medications today. Poisons, disinfectants, cleaning solutions and other items that are dangerous to children have been made inaccessible. There is no evidence of rodent or insect activity.

Outdoor play equipment and outdoor surfaces are in a safe condition. There is no play structure. Portable water is used outdoors. There are no bodies of water, firearms or ammunition on the property. The dual carbon monoxide/smoke detector is operational. Located in the kitchen. The facility has a written disaster plan in place that meets regulatory requirement and has been conducting and documenting evacuation drills every six months. Last drill was conducted in Dec. 2022. The facility does not transport children.

SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:
DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/13/2023
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: LA JOLLA UNITED METHODIST CHURCH - YELLOW COTTAGE
FACILITY NUMBER: 376600959
VISIT DATE: 03/13/2023
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LPA reviewed sign in/out process - electronic. LPA verified 12 sign ins. LPA reviewed a sample of personnel records and a sample of children's records. There is at least one staff present with current CPR and First Aid certification. Facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com.

Children are evaluated upon entry and monitored throughout the day for signs of illness. The isolation area for ill children awaiting pick up is the Director's office in the main facility. Reporting requirements for positive Covid-19 results in children or staff were discussed. Currently, the facility must report three or more cases to Licensing via the duty line (619-767-2248) or submission of the Unusual Incident Report via email SDIncidentReports.ca.gov)

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee is signed up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: LA JOLLA UNITED METHODIST CHURCH - YELLOW COTTAGE
FACILITY NUMBER: 376600959
VISIT DATE: 03/13/2023
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LPA conducted child care quality management interview with Director Erin Wyer. Exit interview conducted and report was reviewed with the Director.

Updated Parent Handbook, LIC 500 and LIC 610 was received today.

No deficiencies are cited.

NOTICE OF SITE VISIT WAS GIVEN AND WILL REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023
LIC809 (FAS) - (06/04)
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