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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700142
Report Date: 03/18/2021
Date Signed: 03/18/2021 10:46:45 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: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: 34DATE:
03/18/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Talana LugoTIME COMPLETED:
11:00 AM
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On 3/18/21 Licensing Program Analysts Michael Morales-DeSilvestore and Patrick Ma made an unannounced case management visit for the preschool addition of classroom #1. A request for room changes was received on 02/4/21. Fire clearance for 95 children was granted on 3/15/21. During the visit there were 34 children present with 3 teachers. Facility is requesting an increase to 95 children.

LPA's inspected and measured room #1 to be 1,605.5 sq.ft. The total facility square feet, including encumbered space, measures at 4,280.5 square feet, sufficient for 122 children. Facility has a boys and girls restroom with a bathroom capacity for 135 children. There were sufficient age appropriate furnishings, toys, books and games available and no hazards were noted.

Facility has 2 playgrounds available for use. Back patio measured 1,303 square feet which is sufficient for 17 children. Circle playground measured 3,631 square feet which is sufficient for 48 children. Facility total outdoor play space is sufficient for 65 children at one time. Facility will need to apply for a playground waiver to accommodate their capacity increase.

Based on fire clearance the increase would be for 95 children.

The following corrections are needed prior to increase approval: Playground waiver

Facility was provided the report/appeal rights and notice of site visit. Notice of site visit must be posted for 30 days. Signature confirms receipt of these documents.

NO DEFICIENCIES ISSUED
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2021
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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