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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700277
Report Date: 12/14/2022
Date Signed: 12/14/2022 04:26:11 PM


Document Has Been Signed on 12/14/2022 04:26 PM - It Cannot Be Edited

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:LEMON GROVE SCHOOL DISTRICT - GOLDEN AVE PRESCHOOLFACILITY NUMBER:
376700277
ADMINISTRATOR:RICK OSERFACILITY TYPE:
850
ADDRESS:7885 GOLDEN AVENUETELEPHONE:
(619) 825-5637
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY:24CENSUS: 4DATE:
12/14/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Melvetta OwensTIME COMPLETED:
04:45 PM
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On 12/14/2022, at 2:20 p.m., Licensing Program Analysts (LPAs), Rajani Goudreau and Daniela Huerta conducted an unannounced Annual Inspection and met with Program Director, Melvetta Owens. LPA disclosed the purpose of the inspection and toured the facility indoors and outdoors. There were four children in care with two staff members present. This is an AM/PM half day program which operates following the Lemon Grove School District school year calendar. The program operates in classroom #9. This is a title 5 program. Facility operates Monday through Friday with two sessions operating in the AM and PM. First session operates 8:00 a.m. through 11:00 a.m. and second session operates from 11:30 a.m. through 2:30 p.m. Facility operates caring for 13 children in each of the sessions, never caring for more than 24 children at one point in time.

There is no swimming pool or other bodies of water on the premises, per observation. There are no firearms or ammunition on the premises, per program director. Disinfectants, cleaning solutions, medication and other hazardous items were made inaccessible, per observation. No poisons were observed during the inspection. Furniture and equipment in the classroom was observed to be in good condition, free of sharp, loose or pointed parts. The playground equipment and play materials were observed to be in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space was observed to be maintained in a safe condition and is free of hazards. All toilets and hand washing facilities were observed to be in safe and sanitary operating condition. There are two restrooms located in the classroom; each containing one toilet and one sink. In addition, there is one sink in the classroom for the children’s use. Isolation area and isolation restroom is located in the nurses office. The floors in the facility were observed to clean and safe. The school district site provides the children with breakfast for the AM sessions and lunch for the PM session. Drinking water is available both indoors and outdoors by the use of a refillable water pitcher and reusable cups brought from home. Areas around high climbing equipment were observed to have sufficient cushioning material by the use of rubber matting to absorb falls. Shade was observed in the outdoor activity space by the use of a large canopy over the play structure. The play structure and the pay equipment was observed to be age appropriate. Based on observation, the facility has one functioning carbon monoxide detector and a first aid kit that meet requirements.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2022
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: LEMON GROVE SCHOOL DISTRICT - GOLDEN AVE PRESCHOOL
FACILITY NUMBER: 376700277
VISIT DATE: 12/14/2022
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Capacity and limitations as specified on the license are being maintained, per observation. LPA reviewed a sample of children’s files.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

This facility provides provide Incidental Medical Services (IMS). No children in care receiving IMS services. 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.

The following is pending with a due date of January 13, 2023:
  • Provide the director packet for new director (Principal).

No deficiencies issued during today's inspection. Exit interview conducted with the Program Director, Melvetta Owens. LIC9213 - Notice of Site Visit discussed and provided to licensee representative. LPA observed the Notice of Site Visit posted prior to exiting the facility.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2022
LIC809 (FAS) - (06/04)
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