376700206-12-28-2021-51-CC-SSIO-CA5UM5-20211228144146

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700206
Report Date: 12/28/2021
Date Signed: 12/28/2021 02:41:52 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:	KIDS CARE CLUB - INFANT		FACILITY NUMBER:	376700206
ADMINISTRATOR:	GINGER JAMIR		FACILITY TYPE:	830
ADDRESS:	9995 CARMEL MOUNTAIN ROAD #B8		TELEPHONE:	(858) 538-5437
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92129
CAPACITY:	16	CENSUS: 12	DATE:	12/28/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	12:25 PM
MET WITH:	Ginger Jamir, Trudy Khodabande		TIME COMPLETED:	02:45 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 12/28/2021 at 12:25pm, Licensing Program Analyst (LPA) Selina Siao conducted an announced Case Management inspection for the purpose of inspecting and measuring the new infant room previously used as a toddler room. Per San Diego Fire Department the infant room must have two exits therefore the facility switch their infant room which was previously located across the front office to the toddler room located at the back. Facility is currently closed for two weeks for winter break therefore no children are in care. Upon arrival, LPA Siao met with Director Ginger Jamir, Licensee Trudy Khodabande and family members. LPA inspected the new infant room and measured the activity areas. The room currently has one sink and two changing tables. The facility walls has been repainted during this winter break therefore all the furniture and equipment have been moved away from the walls. Licensee is planning to replace the counter top in the infant room and put an additional sink in the room. The two sinks will be separated with a plexiglass in the middle. One of sink must be within arm’s reach of a changing table. The other sink will be use for food preparation. This facility is currently licensed for 21 children in the infant room and licensee does not wish to make any changes to the license. The classroom is remeasured at 560.25 square feet, which is sufficient to accommodate up to 16 infants. The room is equipped with age appropriate equipment, furniture, supplies and materials. Infant bedding/napping equipment are in good repairs with 8 standard cribs and mattresses of a water-resistant material, disinfected daily. Cribs are spaced adequately apart to meet regulation and are not blocking an entrance or an exit. The napping area has a four feet high plexiglass transparent wall that allows for audio and visual supervision from the activity area.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 12/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2021

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: KIDS CARE CLUB - INFANT	FACILITY NUMBER: 376700206
	VISIT DATE: 12/28/2021

NARRATIVE

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No other changes to the license. Facility representative will submit photos of the infant rooms new counter area showing the two sinks and are separated with a plexiglass.

The fire clearance of 16 infants was granted on 12/09/2021. Facility is within substantial compliance and the room changes will be make effective today. Notice of site visit was posted during today's inspection.

Facility will submit their updated parent handbook or employee handbook upon completion by 02/01/2022.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 12/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2021

LIC809 (FAS) - (06/04)

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