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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701072
Report Date: 06/14/2023
Date Signed: 06/14/2023 05:03:39 PM


Document Has Been Signed on 06/14/2023 05:03 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:MAOF SAN YSIDRO EARLY LEARNING CENTERFACILITY NUMBER:
376701072
ADMINISTRATOR:DULCE HUERTAFACILITY TYPE:
850
ADDRESS:1901 DEL SUR BLVD., 1ST FLOORTELEPHONE:
(619) 621-2525
CITY:SAN YSIDROSTATE: CAZIP CODE:
92173
CAPACITY:96CENSUS: 29DATE:
06/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Site Supervisor Dulce HuertaTIME COMPLETED:
05:05 PM
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On 06/14/2023 at 12:00PM, Licensing Program Analyst (LPA) Luigi Gargaro conducted an unannounced annual inspection. Upon arrival, LPA met with Site Supervisor Dulce Huerta and proceeded to tour the facility together. The following ratios were observed: Classroom #4 had 12 children supervised by teacher Yolanda Marmolejo (Velazquez) and teacher Tereza Aguilera. Classroom #5 had 10 children under the supervision of teacher Antonia Gomez and teacher Alma Ibarra (Lopez). Both classrooms are part of the facility's Head Start program. Classroom #3 had 7 children supervised by teacher Melissa Alvarado and aide Alejandra Hurtado. This classroom houses the facility's Early Head Start toddler component. Classrooms #1 and #2 are not being used at this time. Facility was within staffing ratio during LPA's tour. When analyst arrived at facility, all children were found in the napping period in their respective classrooms. All staff members have the required background clearances and are associated to the facility

All required notices, forms and license(s) were posted. Furniture and age appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation and drinking water. Storage cubbies are readily available, and room accommodates class size. Napping equipment consists of cots which are kept in the classrooms and each cot has its own sheet or covering. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. Paper towels and toilet paper are available. Bathroom is lighted and has ventilation. Facility provides the children’s breakfast, lunch and snacks from their on site kitchen. All food is protected against contamination and any contaminated food is discarded immediately. A menu is posted for parents to review. Adequate food is available for meals and snacks.

Outdoor play area is a fenced playground with sufficient protective cushioning. Climbing structures and slides are securely fixed to the ground. Yard has overhead structure for shade for children. Facility has separately gated play yard for Early Head Start Toddler class that meets the same conditions. Equipment is age appropriate for the respective programs. Children have drinking water provided in classroom from water dispensers and outdoor water jugs in the play yard. Grounds are free of debris or potential hazards.

SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/14/2023
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: MAOF SAN YSIDRO EARLY LEARNING CENTER
FACILITY NUMBER: 376701072
VISIT DATE: 06/14/2023
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LPA reviewed sign in sheets and medication policy and storage. Isolation area is the Director's office. The analyst reviewed staff files which contained health screening, required immunization records and current documentation of completed mandated reporter training. Menus are posted at least one week in advance where an authorized representative can view them. LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child.

All personnel have required criminal record and child abuse index clearances or exemptions. LPA reviewed Emergency Disaster Plan and last fire drill was conducted on 04/21/23. Facility has at least one operating carbon monoxide detector. Facility has at least one staff member that has a valid EMSA approved CPR/FA certificate when children are in care.



This facility provides Incidental Medical Services – IMS. 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 Director stated, however that no children in care currently have any medications that are required to be administered to them.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at https://cdss.ca.gov/inforesources/community-care-licensing/subscribe. LPA discussed California Megan's Law with site supervsior and advised her to go on the website at www.meganslaw.ca.gov.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023
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: MAOF SAN YSIDRO EARLY LEARNING CENTER
FACILITY NUMBER: 376701072
VISIT DATE: 06/14/2023
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Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated

All unusual incident reports shall be submitted to Licensing office via email at SDIncidentReports@dss.ca.gov or via fax at (619)767-2203.

No violations were issued during today's visit.

A notice of site visit was provided and to be posted at the facility for 30 days. Failure to keep notice posted will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023
LIC809 (FAS) - (06/04)
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