376701160-6-26-2019-51-CC-MHEZ-BDHR7G-20190626124620

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701160
Report Date: 06/26/2019
Date Signed: 06/26/2019 12:46:25 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:	DMUSD EARLY CHILDHOOD DEVELOPMENT CENTER(ECDC)		FACILITY NUMBER:	376701160
ADMINISTRATOR:	KRISSI BITTNER GODINEZ		FACILITY TYPE:	850
ADDRESS:	10830 CALLE MAR DE MARIPOSA		TELEPHONE:	(858) 793-0071
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92130
CAPACITY:	45	CENSUS: 0	DATE:	06/26/2019
TYPE OF VISIT:	Case Management - Annual Continuation	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Brigitte Blazys, Facility Representative		TIME COMPLETED:	12:45 PM

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	Licensing Program Analyst (LPA), Marie Hernandez conducted the Annual/Random inspection. LPA met with Facility Representative, Brigitte Blazys. LPA was given access to inspect the facility. The Representative accompanied LPA on the tour of the facility. There were no children present during the inspection as they are on school break. LPA inspected the classrooms for compliance. Classroom #1 and #2 were inspected. The facility is reminded of the ratios and capacity during the inspection. There are no bodies of water and/or no fire arms/weapons on the premises during the visit. The facility is reminded that all children shall be visually supervised by a teacher during the inspection. The disinfectants, cleaning solutions, poisons and other dangerous items are inaccessible to children during the inspection. The storage areas for poisons are locked during the inspection. All materials and surfaces accessible to children are toxic free. The furniture and supplies are age appropriate. The rooms have adequate lighting, and ventilation during the inspection. The floors are found to be clean and safe during the inspection. The drinking water is readily accessible inside and outside for the children during the inspection. The restrooms are maintained with operational toilets and faucets with hand soap, paper towels and toilet tissue. LPA and the Representative discussed the California Megan's Law and LPA provided: www.meganslaw.ca.gov. Discussed and provided the handout for Lead Exposure.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Marie Hernandez	TELEPHONE: (619) 767-2224
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

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: DMUSD EARLY CHILDHOOD DEVELOPMENT CENTER(ECDC)	FACILITY NUMBER: 376701160
	VISIT DATE: 06/26/2019

NARRATIVE

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The food prep area is clean and free of hazards. The parents provide their children's snacks and meals. The outdoor high climbing play structure with slide has sufficient cushioning material to support a child's fall. The facility has maintained the fire/disaster drills; the last drill was conducted on 06/12/2019. The cleaning supplies are locked. The facility appears to be free of insects and rodents during the visit. There is an operational carbon monoxide detector during the visit. There is adequate shaded rest area for children during the visit. The toys are age appropriate during the visit. The grounds are free of debris or potential hazards during the visit. Personnel records contain documentation of education and at least one staff member has current CPR and First Aid certification during the visit. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions during the visit. Staff records were reviewed during today’s visit. LPA verified the staff's immunization records and their AB 1207 Mandated Child Abuse Reporting certification. The Representative is reminded that the AB1207 must be renewed every two years. The forms and regulations can be obtained online at website: www.ccld.ca.gov. All the required documents are posted.

Incidental Medical Services were discussed. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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.

No deficiency cited today. An exit interview was conducted and a copy of the report, Notice of Site Visit was provided to the Representative. LPA observed the Representative post the Notice of Site Visit in a prominent place. The Representative states it is understood that this notice must be posted for 30 days.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Marie Hernandez	TELEPHONE: (619) 767-2224
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

LIC809 (FAS) - (06/04)

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