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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700569
Report Date: 11/15/2019
Date Signed: 11/15/2019 03:14:14 PM

COMPREHENSIVE INSPECTION
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:WILLOW GROVE PRESCHOOLFACILITY NUMBER:
376700569
ADMINISTRATOR:SUSAN CAMPIONFACILITY TYPE:
850
ADDRESS:14727 VIA AZULTELEPHONE:
(858) 673-6526
CITY:SAN DIEGOSTATE: CAZIP CODE:
92127
CAPACITY:48CENSUS: DATE:
11/15/2019
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Site Director Susan CampionTIME COMPLETED:
03:20 PM
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Licensing Program Analysts, Joelle Redding and Brooke Sykora, made an unannounced visit for the purpose of a random annual inspection. During this visit there were 22 children with three teachers in Room A22 and 20 children with three teachers in Room E17. Facility is within ratio and capacity. Program operates Monday thru Friday from 8:50 a.m. to 3:20 p.m. in Room A22 and 7 a.m. to 5:45 p.m. in Room E17.

LPAs toured the rooms. The furniture, books, games and toys are safe, age-appropriate and in good repair. Room was a comfortable temperature during this visit. No hazards were noted. Medications are kept in an emergency backpack, hung out of reach on the wall. Bathrooms and handwashing areas are in a safe, sanitary and operating condition. There is a waiver in place to share the elementary bathroom in the "F" building. Morning snack is brought by the children in both rooms. They have the option of bringing lunch or purchasing it from the cafeteria. Afternoon snack is provided by the program for Room E17 and by the children in Room A22. Snacks are stored in the classroom. Menus were posted and are being stored for a minimum of 30 days. All hazardous items are stored where they are inaccessible to children. The outdoor play area is fenced and has enough cushioning under and around play structures. There is sufficient shade available and children bring their water bottles outside and there are also drinking fountains available. There is no evidence of rodent or insect activity. The carbon monoxide detector is operational (plugged in behind the teachers desk each room). All staff present have a current CPR and First Aid certification. Sign in/out sheets were reviewed and found to be current.

LPAs observed appropriate supervision in and out of the classroom. A sample of children's records were reviewed for admission’s agreements and staff records for qualifications. SB 792 (staff immunizations) and AB 1207 (Mandated Reporter Training) requirements have been met. Facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com. The area near the teacher's desk is used as an isolation area for sick children.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2019
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 2
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: WILLOW GROVE PRESCHOOL
FACILITY NUMBER: 376700569
VISIT DATE: 11/15/2019
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The last emergency drill was conducted on 11/6/19. Effects of Lead Exposure Handout was provided for dissemination to parents/guardians.

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. Services were in place today.

Licensee is advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

No deficiencies are cited.

NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2019
LIC809 (FAS) - (06/04)
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