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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700337
Report Date: 08/01/2019
Date Signed: 08/01/2019 10:37:40 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:EASTGATE CHRISTIAN SCHOOLFACILITY NUMBER:
376700337
ADMINISTRATOR:KIM HOLLOWAYFACILITY TYPE:
850
ADDRESS:4377 EASTGATE MALLTELEPHONE:
(858) 453-7430
CITY:SAN DIEGOSTATE: CAZIP CODE:
92121
CAPACITY:132CENSUS: 10DATE:
08/01/2019
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Jennifer Killion & Tantiani BudimanTIME COMPLETED:
10:50 AM
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Licensing Program Analysts (LPA) Samantha Salunga and Michael Morales-DeSilvestore visited the facility for the purpose to conduct an unannounced case management non-compliance inspection. Upon arrival LPAs met with Assistant Director, Jennifer Killion, and proceeded to tour the facility. Director, Tantiani Budiman, arrived soon after to conclude inspection. LPA's observed a total of 10 children combined in Room #3 with qualified teacher, Yolanda Palanco. Appropriate ratios and capacity were observed.

Furniture and age appropriate equipment is in good condition indoors and outdoors. Children's toilets and hand washing facilities are sanitary. Rooms are safe and clean. Food preparation area is clean, food and beverages are stored in covered containers at 45 degrees F or less if required, and storage containers for solid waste are covered. Drinking water is readily accessible inside and outside the classroom. All disinfectants, cleaning solutions, and other hazardous items are inaccessible to children through latches and locks. Outdoor play area is fenced with adequate material for cushioning. Area has canopies/trees used for shade. There are no bodies of water or weapons at this facility. No excluded individuals are present. Last fire drill was conducted and documented on 05/24/2019. There is an operational carbon monoxide detector at the facility located in the director's office. First Aid/CPR reviewed and in compliance. Sign in/sign out sheets are well maintained. Admission Agreement forms reviewed for some children. Staff records contain documentation of education, training, and/or experience. Menus are posted. Personnel files contain immunization records per SB792 and Mandated Child Abuse Reporting-per AB1207.
LPAs obtained updated children's roster and LIC500.

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
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019
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: EASTGATE CHRISTIAN SCHOOL
FACILITY NUMBER: 376700337
VISIT DATE: 08/01/2019
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LPAs provided Director with the health and nutrition handout and lead exposure information. Director reminded that corporal punishment and smoking are not allowed in the day care. The Director were also reminded to keep all items that read “keep out of reach of children” physically inaccessible to children in care and all equipment that is used should be used only as intended by the manufacturer.

Facility representatives were advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information.
Duty Line was provided: (619) 767-2248. LPA also discussed California Megan's Law and LPA provided Director with the following website: www.meganslaw.ca.gov

No deficiencies observed in the areas inspected during today's visit.
NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPAs observed Director post notice of site visit.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019
LIC809 (FAS) - (06/04)
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