376701484-2-10-2021-20-CC-MMAE-BY4T3B-20210210132203

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701484
Report Date: 02/10/2021
Date Signed: 02/10/2021 01:22:09 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 UNIVERSE LLC		FACILITY NUMBER:	376701484
ADMINISTRATOR:	CHRISTIAN SILVA		FACILITY TYPE:	840
ADDRESS:	380 TELEGRAPH CANYON ROAD		TELEPHONE:	(619) 422-7115
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY:	8	CENSUS: 0	DATE:	02/10/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Christian and Maria SIlva		TIME COMPLETED:	01:30 PM

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 02/10/2021 at 8:00am, Licensing Program Analyst (LPA), Martha Malane arrived at the facility to conduct a pre-licensing inspection for a change of ownership. LPA met with applicants, Christian and Maria Silva, and proceeded to tour the facility. Applicants are requesting a capacity of 6 serving school age children (age 6 through 13 years) in Classroom C. Applicants planned hours of operation are Monday - Friday from 6:00am to 6:00pm. Classroom C was inspected and measured a total of 244.01 square feet which is sufficient to accommodate six (6) children. The classroom is equipped with furniture including tables, chairs, cubbies, bookshelves and other materials for children. A restroom is located next to Classroom D and is for the exclusive use of school age children, however the restroom lacks privacy for school age children so applicants will install a door to create privacy. There is a separate restroom for staff located in the library. The staff restroom is equipped with one (1) toilet and one (1) sink and will be utilized as an isolation restroom for children who are ill. The Director's office will be utilized for the isolation area for children who become ill. Disinfectants, cleaning solutions, and other hazardous substances are kept inaccessible in the library. Drinking water is available in the classroom via water pitchers and disposable cups. The kitchen currently includes one (1) sink, one (1) dishwasher, one (1) refrigerator with a freezer, one (1) microwave, storage space and food supply. Menus are posted. Manual sign in and sign out sheets are utilized. Required documents are posted. Applicant will install a carbon monoxide detector. A first aid kit with required supplies is available. Continuation on LIC809C...

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2021

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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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 UNIVERSE LLC	FACILITY NUMBER: 376701484
	VISIT DATE: 02/10/2021

NARRATIVE

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The outdoor activity space was inspected and measured a total of 760.48 square feet which is sufficient to accommodate 10 children. The outdoor space is fenced however, shade is not provided. Applicants stated they will install a canopy for shade. Drinking water is available outdoors via water pitchers and disposable cups. Proper supervision and placement of staff outside was discussed to ensure the safety of children at all times.

Incidental Medical Services (IMS) was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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 Applicant discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Technical Assistance for COVID-19 guidelines was provided. LPA discussed and provided applicant with contact information for the SD Epidemiology Department, COVID-19 self-assessment, COVID-19 Guidance (July 2020), hand washing signs and COVID-19 postings. PIN 21-02-CCLD regarding Guardian was also provided.

A Fire clearance was granted on 01/20/21 for 8 school age children (age 6 – 13 years).

Prior to licensure the following is needed by 02/17/21:
1) Install a door to create privacy in the school age restroom
2) Updated fire clearance to reflect room change
3) Operating carbon monoxide detector

An exit interview was conducted with applicants, Christian and Maria Silva. The following reports were discussed and provided: LIC809 and LIC809C. Once the listed requirements have been met and proof submitted to CCL, a license may be granted after final file review.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2021

LIC809 (FAS) - (06/04)

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