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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701351
Report Date: 02/02/2023
Date Signed: 02/03/2023 08:19:40 AM

Document Has Been Signed on 02/03/2023 08:19 AM - 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:UCP SAN DIEGO DBA- S D COOPERATIVE PRESCHOOLFACILITY NUMBER:
376701351
ADMINISTRATOR:STEPHANIE LARSONFACILITY TYPE:
830
ADDRESS:4190 FRONT STREETTELEPHONE:
(619) 295-9860
CITY:SAN DIEGOSTATE: CAZIP CODE:
92103
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 5DATE:
02/02/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Stephanie LarsonTIME COMPLETED:
01:55 PM
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On 2/2/23 at 11:15pm, Licensing Program Analyst (LPA), Vicky Williamson conducted an unannounced annual required inspection and met with Director Stephanie Larson. LPA disclosed the purpose of the inspection and toured the facility indoors and outdoors. This program operates Monday through Friday, 7:30am to 5:30pm. The following ratios were observed: Room 111 had 5 infants with two (2) teachers and one (1) support teacher.

Furniture and equipment are in good condition. Playground equipment is in safe condition. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around high climbing equipment and the slide have cushioning material to absorb falls. Potty chairs, toilets and hand-washing equipment are in safe and sanitary operating condition. Floors in the facility are clean and safe. Solid waste storage containers have covers and are in good repair. Drinking water is available both indoors and outdoors. Facility has a functioning carbon monoxide detector that meet statutory requirements. The last fire/disaster drill was conducted and documented 10/21/22. Menus were posted.

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. 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.

LPA Williamson unable to complete inspection report due to computer issues. Exit interview conducted with Stephanie Larson. Notice of Site Visit was provided and shall be posted for 30 days.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2023
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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