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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701340
Report Date: 11/03/2021
Date Signed: 11/03/2021 03:08:00 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:MCKINNEY FAMILY YMCA LA JOLLA PRESCHOOLFACILITY NUMBER:
376701340
ADMINISTRATOR:BRENDA STEVENSFACILITY TYPE:
850
ADDRESS:8355 CLIFFRIDGE AVENUETELEPHONE:
(858) 453-3483
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:96CENSUS: 41DATE:
11/03/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Vince GloriosoTIME COMPLETED:
03:15 PM
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On 11/3/21 at 2:05PM Licensing Program Analysts (LPAs) Keturah Lane and Daniel Pena conducted an unannounced case management visit at the facility. The purpose of the visit was to finalize the investigation of a self-reported incident received on 9/17/21. The incident was carefully investigated by the Department and it was determined that there was no violation of regulation. Upon arrival LPAs met with Executive Director Vince Glorioso and toured the facility.

LPAs observed the following ratios/capacity:
In Room 102 (2s & 3s): 19 children with staff members Quanita Maynor & Carolina Mittelstaedt. This room was divided into two classroom areas with a partial wall.
In Room 103 (4s): 12 children with staff members Alex Gonzales & Kate Parks.
In Room 101 (2s): 10 children with staff members Kaylin Greisen & Rosalba Gottschalk. Total census was 41 children.

No deficiencies were cited.

Exit interview was conducted and report was reviewed with Executive Director Vince Glorioso. The Notice of Site Visit was provided and must remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021
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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