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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604613
Report Date: 01/04/2023
Date Signed: 01/04/2023 11:47:09 AM

Document Has Been Signed on 01/04/2023 11:47 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
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:OCEANSIDE IVEY RANCH PARK ASSOCIATIONFACILITY NUMBER:
374604613
ADMINISTRATOR:DANIELLY, TONYAFACILITY TYPE:
775
ADDRESS:110 RANCHO DEL ORO DRIVETELEPHONE:
(760) 722-4839
CITY:OCEANSIDESTATE: CAZIP CODE:
92507
CAPACITY: 12CENSUS: 0DATE:
01/04/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Director Tonya DaniellyTIME COMPLETED:
11:55 AM
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Licensing Program Analyst (LPA) Tammer de los Santos conducted an announced Pre-Licensing visit to observe the day program’s physical plant for compliance with Title 22, Division 6 of California Code of Regulations and California Health & Safety Code. LPA was greeted by and explained the purpose of the visit to Lead Teacher Christina Paad. Director Tonya Danielly joined later.

The facility fire clearance was granted on 09/22/2022 and reflects that the facility is approved for twelve (12) participants, of which two (2) may be non-ambulatory.

During today’s visit, LPA toured the interior and exterior of the program's facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. All sinks and toilets were in working order. Hot water temperature was 107 F.

The facility has sufficient space and equipment to facilitate visitation, meetings, and client activities. No pools or bodies of water were observed on the premises. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Per the applicant, no firearms or ammunition are or will be stored at the facility.

Smoke alarms, carbon monoxide detectors, emergency lighting and first aid kit were present.

An exit interview was conducted with Director Tonya Danielly and Lead Teacher Christina Paad, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058) were provided.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tammer DeLosSantos
LICENSING EVALUATOR SIGNATURE: DATE: 01/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/04/2023
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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