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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701273
Report Date: 11/26/2019
Date Signed: 11/26/2019 05:32:27 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:KIDS DEPOT OF OTAY RANCHFACILITY NUMBER:
376701273
ADMINISTRATOR:AIMEE BOIRIFACILITY TYPE:
840
ADDRESS:1394 EAST PALOMAR ST. STE.210TELEPHONE:
(858) 699-1710
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:44CENSUS: 31DATE:
11/26/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Cathy EdwardsTIME COMPLETED:
02:34 PM
NARRATIVE
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Licensing Program Analyst (LPA) Yolanda Baez arrived at the facility to conduct an annual random inspection. LPA Baez met with Administrative Assistant, Alexandra Monarrez, and Assistant Director, Cathy Edwards. The following ratios were observed:

Room 5: (AKA The School Age Class) - serves children 5-12 years old:
  • 31 children present with 3 teachers

Furniture and age appropriate equipment is in good condition indoors and outdoors. Children's toilets and hand washing facilities are sanitary. The children have access to two restrooms (located in the hallway) and each restroom is equipped with one toilet and one sink (total of 2 toilets and 2 sinks available to the school age component). Room 5 is safe and clean. The center provides Breakfast, Lunch, and snacks and menus are posted. Drinking water is readily accessible inside of the classroom through the use of water igloos and disposable cups. Children have access to water outside of the classroom through Igloo water containers and disposable cups. All disinfectants, cleaning solutions, and other hazardous items are inaccessible to children. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, and are in good repair. The outdoor play area is physically separate from other play areas, is fenced with sufficient material for cushioning, has canopies used for shade, and consists of turf grass. There are no bodies of water or weapons at this facility. The last emergency drill was conducted on 09/04/2019. There is an operational smoke detector and carbon monoxide detector at the facility. First Aid/CPR was reviewed and is in compliance. Staff records of education, training, and/or experience were reviewed and are in compliance.

...CONTINUED ON 809C...

SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019
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: KIDS DEPOT OF OTAY RANCH
FACILITY NUMBER: 376701273
VISIT DATE: 11/26/2019
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LPA reviewed the following with Assistant Director: IMS, SIDS, Car seat Law, and Shaken Baby Syndrome. This facility does provide Incidental Medical Services- IMS. A written plan of operation has already been submitted to CCL and is on file. 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 http://www.ada.gov/childqanda.htm. LPA and Assistant Director discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Immunization law (SB792) was discussed with Assistant Director and she understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza. Facility is compliant with SB792.

LPA Baez discussed the Mandated Reporter training, AB1207. LPA Baez reminded Assistant Director that all staff members are to take the training and have the printed certificates present at the facility and available for review. Facility is compliant with AB1207.

There were not any deficiencies issued throughout today's annual inspection. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed the posting the Notice of Site Visit.

Duty Line: (619) 767-2248, Monday through Friday from 8am to 5pm. To access our Regulation and Forms please use our WEBSITE: http://ccld.ca.gov

SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019
LIC809 (FAS) - (06/04)
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