376700142-9-29-2021-51-CC-NDIZ-C7BTPN-20210929145436

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700142
Report Date: 09/29/2021
Date Signed: 09/29/2021 02:54:46 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 PRESCHOOL		FACILITY NUMBER:	376700142
ADMINISTRATOR:	TALANA LUGO		FACILITY TYPE:	850
ADDRESS:	5105 OVERLAND AVENUE		TELEPHONE:	(858) 496-9622
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92123
CAPACITY:	95	CENSUS: 51	DATE:	09/29/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Talana Lugo		TIME COMPLETED:	03:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 9/29/21 @ 1:45pm, LPA Nancy Diaz conducted an unannounced inspection. LPA met with Talana Lugo, Site Director. Observed present today were 51 (napping) children in the following classrooms: Room #1 with 10 children and staff Leonor Baldonado Room #2 with 14 children and staff Leslie Palacios & Jessie Fuller Room #3 with 9 children and staff Alejandra Partida & Maria Tibayan Room #4 with 18 children and staff John Walker & Irma Roldan A tour of the facility was conducted. There are 4 classrooms currently used. Program operates Monday-Friday; 7:30AM to 5:00PM. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. The licensee has not exceeded the conditions, limitations and capacity specified on the license. All staff are current with their Pediatric CPR & First Aid certificate. Facility does not maintain bodies of water or firearms within the premises. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible via locked cabinets. Medications are currently not maintained. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. All toilets, handwashing facilities are in safe and sanitary operating condition. All floors are clean and safe. The child care center was observed to be clean, safe, sanitary and in good repair to ensure the safety and well-being of children, employees and visitors. Facility maintains a carbon monoxide detector that meet the standards established in Chapter 8 of Part 2 of Division 12. Playground equipment was observed to be in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space are maintained in safe condition and free of hazards. The areas around or under high climbing equipment, slides, and similar equipment was cushioned with material that absorbs a fall. CONTINUED

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021

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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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: 09/29/2021

NARRATIVE

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Children were observed to be under the supervision of qualified staff. Facility was observed to be within ratio. An isolation area has been designated for children who becomes ill during the day.

Children’s records were reviewed today. All required forms were on file. Menus are posted in a place visible by the child’s authorized representative. All children are signed in/out by a representative who uses a full legal signature and has recorded the time of day. Child’s record also contain a medical assessment.

Staff records reviewed today contain a health screening as required by the regulation.
Staff have completed the mandated reporter training (effective 3/2018). This training shall be renewed every two years. All staff have immunization record indicating that they have been immunized against influenza, pertussis and measles.

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

Ms. Lugo provided LPA with current copies of LIC 500 & LIC 610.

An exit interview was conducted with Talana Lugo. Appeal rights were discussed and written copy was provided. Notice of Site Visit was observed posted. This notice shall remain posted for 30 days.

NO DEFICIENCY CITED TODAY

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021

LIC809 (FAS) - (06/04)

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