376700393-8-16-2023-51-CC-ALMA-CURNAS-20230816101802

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700393
Report Date: 08/16/2023
Date Signed: 08/16/2023 10:18:08 AM

Document Has Been Signed on 08/16/2023 10:18 AM - 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:	LINDA VISTA STATE PRESCHOOL		FACILITY NUMBER:	376700393
ADMINISTRATOR:	NINA MAURICA-DIXON		FACILITY TYPE:	850
ADDRESS:	2772 ULRIC STREET		TELEPHONE:	(858) 800-5450
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92111
CAPACITY:	24	CENSUS: 0	DATE:	08/16/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Jospehine Condra and Holly Morey		TIME COMPLETED:	10:30 AM

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On 8/16/23 at 9:00 AM, Licensing Program Analysts (LPAs) Adrian Mangina and Gerald Poindexter conducted an announced case management site inspection. Upon arrival, LPAs met with Josephine Condra, Project Resource Teacher and Holly Morey Program Manager for Early Learning. This facility had requested to revert to the originally licensed classroom after school renovations. The program requested to operate in the following rooms: Room 5 (formerly Room 10). Fire clearance was granted on 8/15/2023. There were no children present during inspection as it is summer break.

The above classroom was inspected during this visit. The dimensions were:1258.6 square feet. During the inspection, LPAs observed the indoor play space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, bookshelves, and other activity supplies for the children. There is an operational carbon monoxide detector and 3A40BC fire extinguisher in the classroom. Classroom 5 has one toilet and two sinks available for children. Facility has requested a waiver to allow bathroom sharing with school-aged children. The bathrooms are located approximately 100 feet down the hall from the classroom. Facility staff will ensure is no commingling of age groups happens and will ensure direct supervision when preschoolers are using the bathroom. Children will always be escorted to/from the bathrooms. There are 4 sinks and 7 toilets in the girl’s bathroom and 4 sinks and 3 toilets and 6 urinals in the boy’s bathroom. There is a separate staff restroom. Outdoor space will be the playground located just outside the building (Building 100) and behind Building 200. The facility has requested a waiver to share the playground on a scheduled basis with the school-aged children. The playground area was measured and the dimensions are: 7771.17 square feet. Facility provides lunch/snacks. Food preparation takes place in the kitchen. The school operates two half day programs and breakfast and lunch is provided. Isolation for ill children will be the school nurse’s office.

continued on LIC809 page 2

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

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: LINDA VISTA STATE PRESCHOOL	FACILITY NUMBER: 376700393
	VISIT DATE: 08/16/2023

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LIC809 page 2

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov and click on “Receive Important Updates,” then enter your email address and choose which program you would like to subscribe to and click “subscribe.”

A license for 24 preschool children (ages 2 to 5) in Room 5 is granted and effective today's date, 8/16/2023. Exit interview conducted with Facility Representative, Josephine Condra. Notice of Site Visit provided. Notice of Site Visit form shall be posted for 30 consecutive days.

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

LIC809 (FAS) - (06/04)

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