376701358-12-9-2020-51-CC-SSAA-BW5S2K-20201209122940

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701358
Report Date: 12/09/2020
Date Signed: 12/09/2020 12:30:13 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:	OPEN MINDS LANGUAGE IMMERSION PRESCHOOL		FACILITY NUMBER:	376701358
ADMINISTRATOR:	ANGELICA MARIE PACIS		FACILITY TYPE:	850
ADDRESS:	4825 COLLEGE AVENUE		TELEPHONE:	(619) 665-1264
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92115
CAPACITY:	42	CENSUS: 23	DATE:	12/09/2020
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Christine D’Amico		TIME COMPLETED:	10:00 AM

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 12/09/2020 at 9:30am, Licensing Program Analyst (LPA), Samantha Salunga, conducted a virtual inspection with Christine D’Amico, Director/CEO. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children in care. Due to COVID-19 state of emergency, a temporary licensed childcare waiver was granted on 12/04/2020, for the facility to care for up to 17 school age children (TK thru 13-years-old) at the above address to support with distance learning. Facility was operating under the blanket waiver prior to being granted the temporary licensed childcare waiver. The facility will only utilize Room #2 to care for the school age children. Fire clearance of this room was previously granted on 08/05/2020. Check-in will take place in the front of the classroom. If children become ill during the day, they will rest in an open area outside of the classroom with staff supervision. Isolation restroom is located in the staff restroom. There are 3 sinks, 3 toilets, and 1 urinal available to the children. Children’s authorized representative will be contacted immediately for pick up, if a child becomes ill. Department of Public Health will be contacted in regard to any COVID-19 illness. Children will stay with the same group as assigned and will not be moved from one group to the other. No more than 16 individuals in a cohort and groups must be kept physically separated. Age appropriate furniture including tables and chairs are present in Room #2 to meet the needs of children in care. Bathroom is located in the hallway. There is a designated outdoor play area with age appropriate equipment and activities. Drinking water readily available through the use of water jugs and water bottles. The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies. See 809-C for continuation...

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Salunga	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2020

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: OPEN MINDS LANGUAGE IMMERSION PRESCHOOL	FACILITY NUMBER: 376701358
	VISIT DATE: 12/09/2020

NARRATIVE

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A health check on staff and children will be conducted each day upon arrival. LPA discussed the terms and conditions of the waiver and facility will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public health guidelines and directives.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility. Please feel free to contact the daily duty line at (619) 767- 2248.

This report will be delivered via email due to COVID-19 restrictions. Representative's reply to this email will be considered confirmation of receipt.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Salunga	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2020

LIC809 (FAS) - (06/04)

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