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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700781
Report Date: 07/19/2023
Date Signed: 07/19/2023 04:53:21 PM

Document Has Been Signed on 07/19/2023 04:53 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:RYAN FAMILY YMCA PRESCHOOLFACILITY NUMBER:
376700781
ADMINISTRATOR:MARINA WESTFACILITY TYPE:
850
ADDRESS:4425 VALETA STREETTELEPHONE:
(619) 224-4661
CITY:SAN DIEGOSTATE: CAZIP CODE:
92107
CAPACITY: 30TOTAL ENROLLED CHILDREN: 35CENSUS: 22DATE:
07/19/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Debra PattonTIME COMPLETED:
04:20 PM
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On 7/19/23 at 3:20pm, Licensing Program analyst (LPA), Martha Malane conducted an unannounced case management inspection to follow up on an incident that was self-reported to the Department. Upon arrival, LPA met with interim Director, Debra Patton. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 22 children and six (6) staff members present. Hours of operation are Monday through Friday 7:30am to 5:00pm.

An unusual incident report (UIR) was submitted to the Department on 7/6/23 reporting an injury to Child 1 (C1). The facility reported that on 7/5/23, C1 sustained an injury while playing on the playground which required medical attention. Interviews were conducted with staff members, parent and day care children. Facility staff reported the incident to the Department in a timely manner. Based on the information obtained there were no violations found.

No deficiencies cited.

Exit interview conducted with interim Director, Debra Patton. Notice of Site Visit (LIC9213) was provided and shall be posted for 30 days. Failure to comply with posting requirements may result in an immediate civil penalty of $100.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 07/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/19/2023
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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