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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701152
Report Date: 07/09/2020
Date Signed: 07/09/2020 01:44:33 PM

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:APPLE YOUCHIENFACILITY NUMBER:
376701152
ADMINISTRATOR:ONO, YUKIKOFACILITY TYPE:
850
ADDRESS:2550 FAIRFIELD STREETTELEPHONE:
(619) 994-0620
CITY:SAN DIEGOSTATE: CAZIP CODE:
92110
CAPACITY:30CENSUS: 10DATE:
07/09/2020
TYPE OF VISIT:Case Management - Legal/Non-complianceANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Yukiko OnoTIME COMPLETED:
02:00 PM
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On 07/09/2020 at 1:00PM, Licensing Program Analyst (LPA) Elise Read conducted an announced Case Management inspection in regards to the Non-Compliance Conference (NCC) that was held on 07/24/2018. Due to COVID-19, this inspection was done virtually, via Zoom. LPA met with Director Yukiko Ono. During inspection, there were 10 children present with 3 staff.

Facility has completed Self Assessment Guides per the NCC on 07/24/2018. Director provided the Self Assessment Guides via email to LPA Read to review prior to inspection.

The furniture, books, games and toys are safe, age-appropriate and in good repair. No hazards were noted. There are no children enrolled at this time that need any medications. Bathrooms and handwashing areas are in a safe, sanitary and operating condition. Menus were posted and are being stored for a minimum of 30 days. All hazardous items are stored where they are inaccessible to children. The carbon monoxide detector is operational. There is at least one staff present with a current CPR and First Aid certification. LPA observed appropriate supervision in and out of the classroom. Facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com.

No deficiencies cited today.
An exit interview was conducted with the Director. The Director was provided a copy of their appeal rights, this report, and notice of site visit via email. Director will reply to the email to confirm receipt of these documents. This will act as signature on today's inspection report.

NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2020
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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