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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701193
Report Date: 08/28/2023
Date Signed: 08/28/2023 05:53:54 PM


Document Has Been Signed on 08/28/2023 05:53 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108



FACILITY NAME:SAY-BIRNEY EXTENDED DAY PROGRAMFACILITY NUMBER:
376701193
ADMINISTRATOR:BEATRIZ CALANACOFACILITY TYPE:
840
ADDRESS:4345 CAMPUS AVENUETELEPHONE:
(858) 405-3238
CITY:SAN DIEGOSTATE: CAZIP CODE:
92103
CAPACITY:130CENSUS: 62DATE:
08/28/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Victoria Hankins and Perelini KoriaTIME COMPLETED:
06:00 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
On 8/28/2023, at 2:45 pm, Licensing Program Analyst (LPA),Vicky Williamson conducted an unannounced annual required inspection. LPA met with Site Supervisor, Victoria Hankins and toured the facility. At 3:30pm, Director, Perelini Koria and school age children arrived to the facility. Room 303 is currently not being used. Per Director, K2 is no longer being utilized by the program. The following ratios were observed: there were 62 children in the Auditorium with Site Supervisor, Victoria Hankins, teacher Stacey Saucedo and teacher's aides Capri Studebaker and Brooklyn Goldbird. Days and hours of operation are, Monday - Friday, 7:00am - 9:15am morning session. On Monday, Tuesday, Thursday and Friday, hours of operation are 3:00pm - 6:00pm. On Wednesday facility operates morning session and afternoons from 1:00pm - 6:00pm.

Furniture and equipment are in good condition. Rooms have adequate heating, lighting and ventilation. Playground equipment is in safe condition. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Toilets and hand-washing facilities are in safe and sanitary operating condition. Paper towels and toilet paper are available. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible to children. Floors in the facility are clean and safe. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available indoors and outdoors. Children bring their own water bottle. Facility has a functioning carbon monoxide detector that meet statutory requirements. Adequate snacks are available for children in care. Snack menus are posted monthly. Director stated there are no swimming pools or other bodies of water on the premises. Director stated there are no firearms or ammunition allowed or stored on the premises.

A review of staff records on this date indicates facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Director 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. See LIC 809C Continuation..
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 08/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/28/2023
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 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SAY-BIRNEY EXTENDED DAY PROGRAM
FACILITY NUMBER: 376701193
VISIT DATE: 08/28/2023
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
26
27
28
29
30
31
32
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.

Capacity and limitations as specified on the license are being maintained. Children are under supervision, including visual supervision, of a teacher at all times. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility. The person who signs the child in/out and out of the facility shall use their full legal signature and record the time of day. Last fire/disaster drill was conducted and documented on 6/6/2023. 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 and medical assessment. LPA reviewed a sample of staff files and observed files were complete with health screening and immunization records. Staff have current documentation of completed mandated reporter training on file.

This facility is current providing Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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.

LPA and Director discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, Mandated Reporter Training, and California Megan’s Law (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

No deficiencies cited during today's inspection. An exit interview was conducted with Director, Victoria Hankins and a copy of this report, Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2