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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105097
Report Date: 08/15/2022
Date Signed: 08/15/2022 01:29:31 PM


Document Has Been Signed on 08/15/2022 01:29 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 STE 110
SAN DIEGO, CA 92108



FACILITY NAME:VILLAGE PRESCHOOLFACILITY NUMBER:
376105097
ADMINISTRATOR:MELODY ANDREWSFACILITY TYPE:
850
ADDRESS:10701 NORTH MAGNOLIA AVENUETELEPHONE:
(619) 258-2029
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:56CENSUS: DATE:
08/15/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Melody Andrews and Kimberly HollowayTIME COMPLETED:
12:15 PM
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On 08/15/2022 at 10:25am, Licensing Program Analyst (LPA), Samantha Clenista conducted an announced Change of Ownership Pre-Licensing inspection. Upon arrival, LPA met with Director (who is qualified), Kimberly Holloway, and Administrator, Melody Andrews. LPA toured the facility and observed 29 children present with a total of 4 staff members. The Preschool Program (children ages 2-5) will operate in the following Rooms: 1, 2, 3 and 4. Fire clearance was granted on 08/01/2022. There is a First Aid Kit kept in each classroom and storage closet under the stairs. Medications are on site and are located in a storage closet under stairs.

All indoor and outdoor activity space utilized for the children were inspected and measured today. The indoor play space measured at approximately 1,916.12 sq. ft. which will accommodate a total of 54 children. The outdoor playground area measured at approximately 5,673.52 sq. ft., which will accommodate no more than 75 children at one time. LPA observed the indoor play space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children. There is a total of 4 toilets, 1 urinal and 4 sinks available for the children. Children are to be escorted and supervised by staff to and from the bathroom and under direct visual observation. There is a separate bathroom for staff located in the church building, across the preschool building and is also designated for use by children who are ill. The director's office is used as the isolation area for children who are ill. There is a carbon monoxide detector on site located in each classroom. The kitchen area currently includes a sink, 3 refrigerators, microwave and stove. Food and beverages are located in the kitchen. All required documents for the parents and employees are posted. Sign-in is via electronic iPad which is located in the front foyer.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:
DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2022
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: VILLAGE PRESCHOOL
FACILITY NUMBER: 376105097
VISIT DATE: 08/15/2022
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Outdoor play area is fenced, has trees and canopies used for shade and age appropriate toys and play equipment. Drinking water is readily accessible inside and outside the classroom via water fountains and refillable water jugs and sippy cups for each child (which the facility requires the parent/guardian to bring).

Facility has an approved Incidental Medical services (IMS) policy for epi-pen and inhaler. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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.htmwww.meganslaw.ca.gov.

Ms. Holloway 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, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA reviewed the updated LIC311A with Ms. Holloway today and reminded to keep anything that reads, “Keep Out of Reach of Children” inaccessible to children.

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 platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview was conducted with Ms. Holloway. A preschool license for 54 children (ages 2-5 years old) in Rooms 1, 2, 3 and 4 is granted and effective today’s date, 08/15/2022. This report shall be kept available at the facility for public review for 3 years
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022
LIC809 (FAS) - (06/04)
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