374604658-12-19-2023-08-AS-DNGN-CYNS3G-20231219123107

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 374604658
Report Date: 12/19/2023
Date Signed: 12/19/2023 12:31:37 PM

Document Has Been Signed on 12/19/2023 12:31 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
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME:	STEIN EDUCATION CENTER		FACILITY NUMBER:	374604658
ADMINISTRATOR:	GARCIA, JOANNE		FACILITY TYPE:	775
ADDRESS:	45 3RD AVE		TELEPHONE:	(619) 281-5031
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY: 90		CENSUS: 0	DATE:	12/19/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Applicant's Representative, Administrator Joanne Garcia		TIME COMPLETED:	12:40 PM

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Licensing Program Analyst (LPA) Dang Nguyen conducted an announced Pre-Licensing visit to observe the day program’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted by, identified himself to, and explained the purpose of the visit to the applicant’s representative, Administrator Joanne Garcia.

The facility fire clearance was granted on 11/21/2023 and reflected that the day program facility was approved for ninety (90) clients in total, of which twelve (12) may be non-ambulatory but none may be bedridden. The fire clearance did not include endorsements for delayed-egress doors or secured perimeter, and neither were present during today's visit. The submitted facility sketch was consistent with the current layout of the facility.

During today’s visit, LPA, accompanied by the applicant’s representative, toured the interior and exterior of the day program 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. Toilets and sinks were in working order. The facility’s ambient internal temperature was complaint at 68 degrees F. Hot water temperature at taps accessible to clients were also compliant: Kitchen sink was 105.4 F, Bathroom #1 sink was 105.6 F, Bathroom #2 sink was 105.8 F, Bathroom #3 sink was 105 F, Bathroom #4 sink was 105, Bathroom #5 sink was 105 F, and Bathroom #6 sink was 108.1 F.

The day program facility has enough food for future client use. All kitchen appliances were in working order. Refrigerator temperature was 36 F, and freezer temperature was -11 F.

[CONTINUED ON LIC 809-C]

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

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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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. #109
SAN DIEGO, CA 92108

FACILITY NAME: STEIN EDUCATION CENTER	FACILITY NUMBER: 374604658
	VISIT DATE: 12/19/2023

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[CONTINUED FROM LIC 809]

The facility has sufficient space and equipment to facilitate visitation, meetings, and client activities. The facility has locked areas for storage of sharp objects, medication, and confidential client and staff records.

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’s representative, no firearms or ammunition are or will be stored at the facility.

Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all operational. All fire extinguisher were serviced within the last twelve months. A complete first aid kit was present. Required licensing postings were observed in visible areas of the facility.

The items reviewed were complaint with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. The applicant passed the pre-licensing inspection.

LPA also provided the Component III Training during today’s visit. Garcia was advised that the facility’s application is pending management final review and approval.

An exit interview was conducted with the applicant’s representative, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

LIC809 (FAS) - (06/04)

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