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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806490
Report Date: 02/09/2024
Date Signed: 02/09/2024 12:32:11 PM

Document Has Been Signed on 02/09/2024 12:32 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:NHA - EUCLID AVENUE HEAD STARTFACILITY NUMBER:
370806490
ADMINISTRATOR:DEBORAH FAVILAFACILITY TYPE:
850
ADDRESS:210 SOUTH EUCLID AVENUETELEPHONE:
(619) 264-3577
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY: 44TOTAL ENROLLED CHILDREN: 20CENSUS: 18DATE:
02/09/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Deborah FavilaTIME COMPLETED:
12:50 PM
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On 02/09/24 at 10am, Licensing Program Analyst (LPA), Samantha Clenista conducted an unannounced case management site inspection to address facility’s change of capacity application. Upon arrival, LPA met with Center Director, Deborah Favila. All indoor and outdoor activity space utilized for the children were inspected today. Facility is requesting to be licensed for 20 preschoolers (ages 2-5yo) in Classroom #1 and 20 toddlers (ages 18-36 months) in Classrooms #2A (aka 2) and #2B (aka 3), total capacity shall not exceed 40 children. Fire clearance was granted on 01/30/24. This is a Title 5 program. The areas used for the toddler program were observed to be separate from the preschool program, both indoors and outdoors. LPA informed Director that the programs shall never commingle at any given time and that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor play.

LPA continued to tour the facility and measured all indoor and outdoor activity space. There was a total of 18 preschool children with a total of 3 staff members in Classroom #1. Appropriate ratio and capacity were observed along with supervision. The total indoor activity space measured at 1,657.33 sq. ft., sufficient for the requested capacity. There are a total of 5 sinks, 3 toilets and one changing table within arm’s reach of a sink available for the toddler program. The changing table within arm’s reach of a sink is located in the toddler bathroom (labeled Bath 2 on the sketch). There are a total of 4 sinks, 2 toilets and 1 urinal available for the preschool children. All sinks and toilets used for the toddler and preschool program were observed to be separate. The preschool bathroom is labeled “Bath 1” on the sketch. Infant needs and services plan will be stored in the classroom in a binder per child and Director is reminded that they have to be updated quarterly. LPA observed all indoor play space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots/mats, bookshelves, and other activity supplies for the children. There is a separate staff restroom located in the church building near the kitchen equipped with 2 toilets and 1 sink. The director's office and staff restroom will be the isolation area for children who are ill. There is an operational carbon monoxide detector on site located in each classroom. All required documents were observed posted in the main parent drop off/pick up area.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NHA - EUCLID AVENUE HEAD START
FACILITY NUMBER: 370806490
VISIT DATE: 02/09/2024
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The facility currently has three separate outdoor play areas (two for preschool children and one for their toddler program). LPA informed Director that children must be escorted to and from the playground, and that staff must always maintain direct supervision to ensure the health and safety of all children. The toddler playground (EHS Playground) measured at approximately 1,073 sq. ft., sufficient for only 14 children at one time. Facility is requesting to be licensed for 20 toddlers. A playground waiver to share the toddler playground at different times in the AM and PM due to limited space shall be requested by the facility and approved by CCL prior to licensure. The total preschool outdoor play areas (HS Playground 1 and 2) measured at approximately 8,007 sq. ft., sufficient to accommodate requested capacity. Director stated that when the preschool children are playing on the HS Playground 1, all doors that lead to the church remain closed and that staff maintain extra supervision so that children do not enter the church areas and walk up and down the 3-4 steps that lead up to certain doors. All outdoor play areas were observed to be fully fenced via a mixture of vertical metal fencing and chain-link fencing. All outdoor play areas for both the toddlers and preschool children had age-appropriate toys and play equipment and had turf under play structure, sufficient to sustain a fall. Drinking water is readily accessible inside and outside the classroom via water jugs and refillable water cups provided by the facility. Director is reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
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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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NHA - EUCLID AVENUE HEAD START
FACILITY NUMBER: 370806490
VISIT DATE: 02/09/2024
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This facility provides Incidental Medical Services – IMS, however, has no children enrolled and attending at the moment that needs it. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

Director was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Exit interview was conducted and report was reviewed with Center Director, Deborah Favila. Prior to licensure, an updated facility sketch reflecting room labels and playground waiver to allow the toddlers to share the toddler playground at separate times (no more than 14 children at one time) due to limited space shall be submitted and approved. A notice of site visit was given to Director and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. A license for 20 preschoolers (ages 2-5yo) in Classroom #1 and 20 toddlers (ages 18-36 months) in Classrooms #2A and #2B may be granted upon receiving the above corrections and after conducting a final file review. Director stated her understanding that this report shall be kept available at the facility for public review for 3 years.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC809 (FAS) - (06/04)
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