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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701260
Report Date: 09/30/2019
Date Signed: 09/30/2019 05:59:30 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:COPLEY PRICE YMCA - FRANKLIN ELEMENTARYFACILITY NUMBER:
376701260
ADMINISTRATOR:BARBARA THOMASFACILITY TYPE:
840
ADDRESS:4481 COPELAND AVENUETELEPHONE:
(619) 298-3576
CITY:SAN DIEGOSTATE: CAZIP CODE:
92116
CAPACITY:56CENSUS: 39DATE:
09/30/2019
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Barbara ThomasTIME COMPLETED:
06:00 PM
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LPA Luigi Gargaro visited the facility to conduct a comprehensive site inspection. Upon arrival LPA met with site supervisor Barbara Thomas. During today's visit, there were 39 children present being supervised by site supervisor Thomas, teacher Zackary Perkins and substitute teacher Irene Castillo in the cafeteria. The children were engaged in homework and play activities. The children then broke off into separate groups with staff member Perkins taking children to the play area and staffer Castillo taking children to B-7 for other classroom activities. Room 4 is also approved for the program but was not in use during today's visit. Both rooms are sufficiently equipped to meet children and program needs. Appropriate care & visual supervision were observed during the visit.

Furniture and age appropriate equipment is in good condition. Care areas have adequate heating, lighting and ventilation. Children's bathrooms are located in main school building (Building #1), across the courtyard (separate boys and girls bathrooms). Bathrooms have doors that provide privacy. Staff shall ensure that children be escorted to/from the bathrooms. Paper towels and toilet paper are available in both restrooms. Bathrooms are lighted and have ventilation. Snack menu is posted. Drinking fountains are available outside the care areas. Cleaning supplies are stored in the janitor's closet, inaccessible to children. Facility is open solely in the afternoons from 2:10PM to 6:00PM (on Wednesdays 12:15PM to 6:00PM). A separate staff restroom (located near cafeteria) is available. Isolation areas for ill children are typically open, available classroom corners until parent pick up. The playground, which is solely dedicated to the after school program, is located on the rear side of the campus. Trees provide sufficient shade to children during outdoor activities as well as a shaded table area. Equipment is age appropriate. Children have access to facility water fountains for drinking water.

LPA reviewed sign in sheets and found them to be in compliance. Personnel records contain health screenings and children’s records contain emergency information and medical assessments. At least one staff member has current CPR and First Aid certifications. 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. Fire and disaster drills are conducted as required.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2019
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: COPLEY PRICE YMCA - FRANKLIN ELEMENTARY
FACILITY NUMBER: 376701260
VISIT DATE: 09/30/2019
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The program currently has one child who is monitored for blood glucose levels but no related medication is administered on site. Analyst reviewed the facility documentation for the student and found it to be in order. 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 California Megan's Law and he provided director with the website address: www.meganslaw.ca.gov for her to review information regarding her facility on a regular basis.

No deficiencies are cited as the facility appeared to be in substantial compliance during today’s visit. Director was provided with Notice Of Site Visit to post in notice area for 30 days. Report today was signed by YMCA Program Director Pana Hap.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2019
LIC809 (FAS) - (06/04)
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