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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700573
Report Date: 11/04/2021
Date Signed: 11/04/2021 04:02:48 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:LISA'S LIL TIKESFACILITY NUMBER:
376700573
ADMINISTRATOR:LISA DANIELSFACILITY TYPE:
850
ADDRESS:4351 PARKS AVENUETELEPHONE:
(619) 460-6432
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY:50CENSUS: 38DATE:
11/04/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Lisa Daniels, Facility DirectorTIME COMPLETED:
04:02 PM
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On November 4, 2021 at 12:30 PM, Licensing Program Analyst (LPA), Marie Hernandez conducted an unannounced annual inspection of the facility. LPA met with the Facility Director, Lisa Daniels. The Director accompanied LPA during the inspection of the facility including the play yard. Present during the inspection are thirty eight children with seven staff. In the preschool room, there are ten children with one staff, in the two and three year old classroom, there are eight children with one staff, in the three and four year old classroom, there are eight children with two staff and in the two year old classroom, there are twelve children with two staff.

There was a least one qualified lead teacher in each classroom. The appropriate ratios and capacity were observed. The furniture and equipment are in good condition; free of sharp, loose, or pointed parts. The drinking water is readily accessible to children during the inspection. The disinfectants, cleaning solutions, and other hazardous items are inaccessible to children via latches, locks and/or placed up on high surfaces. No bodies of water was observed during the inspection. The Director states there are no firearms or weapons present at this facility. All toilets and hand washing facilities are in good repair and sanitary. Snacks and food items are available for the children. All storage containers for solid waste have tight-fitting covers that are kept on, and in good repair. Outdoor play area is fully fenced and contains sufficient amount of cushioning with wood chips to absorb a fall. The sign in/sign out sheets are maintained. All the required documents are posted. The children’s files were reviewed and contained the required information. The staff present during the inspection today, have obtained criminal record clearances. The staff records were reviewed and contained documentation of educational background, training, and/or experience. All present staff members on site have a current CPR/First Aid certification. Immunization records per SB792 were reviewed and incompliance. Mandated reporter certificates per AB1207 were reviewed and incompliance. The last fire drill was conducted and documented on 10/15/2021. This facility provides Incidental Medical Services (IMS), however, the facility currently does not have any children with IMS. 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: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2224
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
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: LISA'S LIL TIKES
FACILITY NUMBER: 376700573
VISIT DATE: 11/04/2021
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The Covid-19 documents were posted and the staff were wearing their facial coverings and social distancing during the inspection. The carbon monoxide detector was tested and in good working order. The restrooms were clean and in good working order during the inspection.

To access our Regulation and Forms please use our WEBSITE: www.cdss.ca.gov
Community Care Licensing Duty Line: (619) 767-2248, Monday through Friday, from 8:00 AM to 5:00 PM.

No deficiencies observed in the areas inspected during today's visit. An exit interview was conducted and a copy of the report was discussed and provided to the Facility Director. The Notice of Site Visit must be posted in a prominent place for 30 days. LPA observed Director post the notice of site visit.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2224
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
LIC809 (FAS) - (06/04)
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