<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700988
Report Date: 10/30/2020
Date Signed: 10/30/2020 09:53:41 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:SOUTH BAY FAMILY YMCA - ENRIQUE CAMARENA ELEM.FACILITY NUMBER:
376700988
ADMINISTRATOR:ELYSSA GARCIAFACILITY TYPE:
840
ADDRESS:1650 EXPLORATION FALLS DRIVETELEPHONE:
(619) 591-5500
CITY:CHULA VISTASTATE: CAZIP CODE:
91915
CAPACITY:60CENSUS: 31DATE:
10/30/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Miriam MartinezTIME COMPLETED:
10:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 10/30/20 at 9:00am, Licensing Program Analyst (LPA), Martha Malane arrived at the facility to conduct a case management inspection for the purpose of an increase of capacity. LPA met with the Department Head Miriam Martinez and Site Supervisor Elyssa Garcia. There were 31 children and 5 staff members. This School Age Program currently operates at Enrique Camarena Elementary School in the following rooms: the Multi-Purpose Room (aka Auditorium) the Media Center/Library and #201 (aka The Y Room), the with the capacity of 60 and is requesting a capacity increase of 112 in additional new room #408. Hours of operation are Monday - Friday from 7:00am to 4:30pm.

Rooms were inspected and are equipped with appropriate furniture, including tables, chairs, and other materials for children. Boys/Girls restroom are available and located on the south/east side of the auditorium. Restrooms are safe and clean and are sufficient to accommodate the new requested capacity of 112 children. Elyssa stated a school staff custodian cleans the bathrooms every three hours. A staff restroom is located north east of the auditorium. Drinking water is available in classrooms via water dispensers and children bring refillable water bottles from home and disposable cups are available if needed.

The isolation area for ill children is located in the multi-purpose room. LPA discussed disinfectants are to be kept inaccessible. Required documents are posted. There is a working carbon monoxide detector located in room #201 (the Y Room) and a first aid kit with required supplies. A grass play area, black top and lunch area with tables and a gazebo for shade is located on the south side of the auditorium. Drinking water is available outside via water dispensers and children bring refillable water bottles from home and disposable cups are available if needed.

A fire clearance for 112 school age children (ages kindergarten – 12 years) was granted on 10/23/20.

No deficiencies issued during today’s inspection. LPA discussed and provided: LIC809, Notice of Site Visit and Appeal Rights. An exit interview was conducted.

An increase of capacity for 112 school age children (ages kindergarten – 12 years) may be granted upon final review.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha MalaneTELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2020
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 1