376701007-12-11-2023-51-CC-ALMA-CYEVCP-20231211151929

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701007
Report Date: 12/11/2023
Date Signed: 12/11/2023 03:19:33 PM

Document Has Been Signed on 12/11/2023 03:19 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 - BARNARD ELEMENTARY		FACILITY NUMBER:	376701007
ADMINISTRATOR:	BRIANA DIAZ		FACILITY TYPE:	840
ADDRESS:	2445 FOGG STREET		TELEPHONE:	(619) 672-6932
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92109
CAPACITY:	65	CENSUS: 31	DATE:	12/11/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Sydney Lara and Lucelyna Godwin		TIME COMPLETED:	03:30 PM

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On 12/11/23 at 2:30 PM, Licensing Program Analyst (LPA), Adrian Mangina conducted an announced Case Management inspection for the purpose of adding a temporary room to the license. During the visit, LPA met with Site Director, Sydney Lara, and Association Program Specialist , Lucelyna Godwin. This facility requested to add a temporary classroom (room 1) to licensed areas of the facility with no change incapacity, due to school-wide renovations. Facility currently serves 65 school-aged children TK through 12 years old in the Cafeteria. A tour of the facility was conducted. This school-age program is located on the Barnard Elementary School Site. There were 31 children in care present at the facility at time of inspection with two teachers and one aide supervising. A fire clearance was granted on 12/5/23 and received on 12/6/23.

LPA inspected Room #1, which will be used as an additional room for use during inclement weather and for quieter activities. The classroom is currently used as an elementary school classroom during the day. Per Health and Safety Code Sections 1596.806(a), this room is exempt from square footage, fencing, outdoor activity space, toilet and isolation requirements. Room 1 is equipped with tables, chairs and age-appropriate supplies and equipment. Cleaning supplies and other hazardous items are inaccessible to children through latches, locks and/or placed on high surfaces. There is a working smoke alarm and carbon monoxide detector in the room. There are two restrooms and two sinks in the classroom for the children to use, in addition to there are two gendered bathrooms containing 4 additional sinks, 4 stalls and 3 urinals. Children will be escorted to the two other gendered restrooms located on the other side of campus near the front office. There is a separate staff restroom. Drinking water is readily accessible via water fountains that are located in the classroom or a jug of filtered water in the cafeteria. The children will utilize these water fountains to refill their water bottles that they bring from home. Food preparation for snacks only is completed in the cafeteria. The children eat snacks outside at the picnic tables. The playground to be used is the elementary school playground previously licensed, which has age-appropriate play equipment. There

continued on LIC809 page 1

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023

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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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: RYAN FAMILY YMCA - BARNARD ELEMENTARY	FACILITY NUMBER: 376701007
	VISIT DATE: 12/11/2023

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LIC8809 ;page 2

is shade available and children will bring their own water bottles for use outside which can be refilled using the outdoor drinking fountains nearby. Ms. Lara is reminded to keep anything that reads, “Keep Out of Reach of Children” inaccessible to children.

***Room 1 was inspected today and was observed to be in compliance with Title 22 regulations. The addition of room 1 for school-aged care is granted and effective on today's date, 12/6/23. The licensed rooms are as follows: Cafeteria, Library (currently unused for children in care), and Room 1. An updated license will be sent for posting.***

No deficiencies were observed in the areas inspected during today's visit.

Exit interview conducted with Facility Representative, Sydney Lara, and copy of this report, appeals rights, and Notice of Site Visit provided. Notice of Site Visit form shall be posted for 30 consecutive days.

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023

LIC809 (FAS) - (06/04)

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