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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700784
Report Date: 02/14/2020
Date Signed: 02/14/2020 10:05:24 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:GROW SMART CHILDREN'S ACADEMY -SPRING VALLEYFACILITY NUMBER:
376700784
ADMINISTRATOR:MOHAMMAD, NESRINFACILITY TYPE:
850
ADDRESS:8735 JAMACHA BOULEVARDTELEPHONE:
(619) 479-7577
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:43; 43CENSUS: 18DATE:
02/14/2020
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Nesrin MohammadTIME COMPLETED:
10:15 AM
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Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management non-compliance inspection. Met with Director,Nesrin Mohammad. LPA inspected the inside and outside of the facility. There were 18 children present with 2 teachers. Appropriate ratios and capacity were observed.

Hunan Arshakian, Administrator arrived at the facility during the inspection. Staff were observed providing adequate supervision to children in care. Furniture, supplies and equipment were found to be in good condition. The facility has adequate heating, lighting and ventilation. Children's toilets and hand washing facilities are sanitary. Drinking water is readily accessible inside and outside of the classroom. All disinfectants, cleaning solutions, and other hazardous items are inaccessible to children through latches and locks. Carbon monoxide detector and smoke detector are operational. Outdoor play area is fenced with sufficient shade and cushioning material. LPA observed a green picnic bench on the playground that had a small area of exposed wood accessible to children. Mr. Arshakian removed the picnic bench from the playground during the inspection. Age appropriate climbing structures are securely fixed to the ground. There were no bodies of water or weapons present on the premises. No excluded individuals are present. Last fire drill was conducted and documented on 02/10/20. Pediatric CPR/ First Aid reviewed and are in compliance. Staff records were reviewed. Sign in / sign out sheets were reviewed. A review of staff records on 2/14/20 indicated that all facility staff have completed Prevention Plan training. Required documents are posted in a prominent area.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2020
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: GROW SMART CHILDREN'S ACADEMY -SPRING VALLEY
FACILITY NUMBER: 376700784
VISIT DATE: 02/14/2020
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LPA reviewed the following with Director and Administrator: sign in / sign out requirements, criminal record clearance, playground equipment.

LPA discussed California Megan's Law and LPA provided:
www.meganslaw.ca.gov.

No deficiencies cited during today’s inspection. A Technical Assistance was issued. Administrator was provided appeal rights (LIC9058 12/15) the signature on this form acknowledges receipt of these rights. Provided Notice of Site Visit (LIC 9213). LPA observed Director post the LIC9213.

An exit interview was conducted
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2020
LIC809 (FAS) - (06/04)
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