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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700142
Report Date: 11/20/2019
Date Signed: 11/20/2019 02:30:33 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:TOBY WELLS YMCA DEVELOPMENTAL PRESCHOOLFACILITY NUMBER:
376700142
ADMINISTRATOR:TALANA LUGOFACILITY TYPE:
850
ADDRESS:5105 OVERLAND AVENUETELEPHONE:
(858) 496-9622
CITY:SAN DIEGOSTATE: CAZIP CODE:
92123
CAPACITY:75CENSUS: 66DATE:
11/20/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Talana LugoTIME COMPLETED:
02:40 PM
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Licensing Program Analyst (LPA) Samantha Salunga visited the facility for the purpose to conduct an annual random inspection. Upon arrival LPA met with Director, Talana Lugo, and proceeded to tour the facility. The hours of operation are 6:30am- 6pm, Monday- Friday.

There were 66 children present in the following classrooms:
  • Room 2- 21 children with staff Gilbert Gutierrez, Chelo Garcia, Heather Wilson and Leslie Palacios
  • Room 3- 23 children with Alejandra Partida and John Walker
  • Room 4- 22 children with staff Maria Tibayan, Jazmin Salazar and Leonor Baldanado

Appropriate ratios and capacity were observed. Furniture and age appropriate equipment is in good condition indoors and outdoors. Children's toilets and hand washing facilities are sanitary. Rooms are safe and clean. The facility menu is posted and adequate food is available for meals/snacks. Food is delivered by NHA. There is a refrigerator, microwave, and toaster oven in each room if needed. Drinking water is readily accessible inside and outside the classroom. All disinfectants, cleaning solutions, and other hazardous items are inaccessible to children through latches and locks. The outdoor play area is the back patio and the playground across from the parking lot. Both areas are fenced and have sufficient cushioning. Areas have canopies/trees used for shade. There are no bodies of water or weapons at this facility. No excluded individuals are present. Last fire drill was conducted and documented in August 2019. There is an operational carbon monoxide detector located in each classroom. First Aid/CPR reviewed and in compliance. Sign in/sign out sheets are well maintained. Admission Agreement forms reviewed for some children. Staff records contain documentation of education, training, and/or experience. Staff records also contained immunization records per SB792 and mandated reporter training certificates per AB1207.

See 809-C for continuation...
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
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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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: TOBY WELLS YMCA DEVELOPMENTAL PRESCHOOL
FACILITY NUMBER: 376700142
VISIT DATE: 11/20/2019
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This facility has an approved Incidental Medical Services – IMS plan of operation, however, does not currently have any children enrolled that require it. 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

Director were advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information.


Duty Line was provided: (619) 767-2248. LPA also discussed California Megan's Law and LPA provided Director with the following website: www.meganslaw.ca.gov

No deficiencies observed in the areas inspected during today's visit.
NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Director post notice of site visit.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
LIC809 (FAS) - (06/04)
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