<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700166
Report Date: 01/28/2020
Date Signed: 01/28/2020 06:00:40 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:EAST COUNTY FAMILY YMCA - DAILARDFACILITY NUMBER:
376700166
ADMINISTRATOR:GABRIELA GUTIERREZFACILITY TYPE:
840
ADDRESS:6425 CIBOLA ROADTELEPHONE:
(619) 789-9970
CITY:SAN DIEGOSTATE: CAZIP CODE:
92120
CAPACITY:160CENSUS: 127DATE:
01/28/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Gabriela Gutierrez/Site SupervisorTIME COMPLETED:
06:15 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
(3) Licensing Program Analysts (LPAs) Selina Siao and Tyra Block conducted an unannounced annual inspection. Upon arrival, LPAs met with Site Supervisor Gabriela Gutierrez and conducted a head count of the children in care. There were 127 children supervised by 11 staff members at the facility separated from different groups based on the children's grade level. All required notices, forms and license were posted. Furniture and age appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation and drinking water is available for the children. There are several storage spaces available for the children's backpack located inside the YMCA resource room and multipurpose room. Bathroom is lighted and has ventilation. Facility provide snacks for the children and monthly menu is posted. Adequate snacks are available for children. Cleaning supplies are kept inside a locked cabinet under the sink. Site supervisor stated that outdoor play area is the grass field area. Drinking water is available for the students when they are outside from an operating drinking fountain. LPAs reviewed sign in sheets, first aid supplies and medication policy and storage.

Personnel and children's records were reviewed. All personnel have required criminal record and child abuse index clearances. All staff members have the required immunizations and have completed the online mandated child abuse training. LPA reviewed Emergency Disaster Plan and the last fire drill was conducted on 12/12/2019. An updated roster was obtained during the inspection. Reporting requirements and AB633 was also reviewed.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 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: EAST COUNTY FAMILY YMCA - DAILARD
FACILITY NUMBER: 376700166
VISIT DATE: 01/28/2020
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
26
27
28
29
30
31
32
Most staff members present today have a current EMSA approved pediatric approved CPR and First Aid card. Facility has an operating carbon monoxide detector. No hazardous are accessible to the students in care.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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



LPA discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. Provided Director with the latest Car Seat Poster Jan/2017, Best Practice on Supervision and Information on how to prevent Heat Related Illness.

See LIC809D for type B citation issue today.

Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted during this visit and will remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020
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: EAST COUNTY FAMILY YMCA - DAILARD
FACILITY NUMBER: 376700166
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/28/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/07/2020
Section Cited

1
2
3
4
5
6
7
Health-Related Services
101226(e)(3)(A)
Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: LPA Siao observed an inhaler that had expired on Nov/2019 at the facility. This poses a potential health and safety risk to clients in care
8
9
10
11
12
13
14

1
2
3
4
5
6
7

1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE: 01/28/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/28/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3