376105124-3-16-2023-51-CC-SCLA-CPYSEL-20230316134855

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376105124
Report Date: 03/16/2023
Date Signed: 03/16/2023 01:49:02 PM

Document Has Been Signed on 03/16/2023 01:49 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:	BALDWIN ACADEMY		FACILITY NUMBER:	376105124
ADMINISTRATOR:	YULIA ZAETS		FACILITY TYPE:	850
ADDRESS:	1752 & 1762 HORNBLEND STREET		TELEPHONE:	(858) 270-5995
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92109
CAPACITY:	75	CENSUS: 31	DATE:	03/16/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Yulia Zaets		TIME COMPLETED:	11:45 AM

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 03/16/23 at 9am, Licensing Program Analyst (LPA), Samantha Clenista and Adrian Mangina conducted an announced Change of Ownership Pre-Licensing inspection. Upon arrival, LPA’s met with Applicant/Center Director, Yulia Zaets. All indoor and outdoor activity space utilized for the children were inspected today. There was a total of 31 children present with 6 staff members. Applicant stated that the areas utilized for the preschool children (ages 2-5 years old) are in three separate buildings. The address to these buildings is 1752 and 1762 Hornblend St. The indoor activity space includes the following in the 3 buildings: “Big Nest” Building (in Room 1, 2 and 3), “Robins” Building (in Room 1 and the multipurpose room) and the “Canaries” Building (in Room 1, 2, 3, 4 and 5). The fire clearance was granted on 02/22/2023. Medications are stored in the director’s office or classroom depending on the medication. LPA’s continued to tour the facility and measured all indoor and outdoor activity space. The following measurements were taken: · Robins building = 891.52 sq. ft. · Big Nest building= 843 sq. ft. · Canaries building= 970.85 sq. ft. · Outdoor activity space which includes; preschool yard #1, preschool yard #2, picnic area, garden and preschool courtyard = 4,522.47 sq. ft. The total indoor activity space measured at approximately 2,705.37 sq. ft. which will accommodate a total of 77 children. 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 8 sinks, 5 toilets and 1 urinal available for the children. Children are to be escorted and supervised by staff to and from the bathroom and under direct visual observation.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Clenista	TELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

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 STE 110
SAN DIEGO, CA 92108

FACILITY NAME: BALDWIN ACADEMY	FACILITY NUMBER: 376105124
	VISIT DATE: 03/16/2023

NARRATIVE

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There is a separate bathroom used by staff that consists of 1 toilet and 1 sink and is also designated for use by children who are ill. The director's office is designated to be the isolation area for children who are ill. There is an operational carbon monoxide detector on site located in each building. Each building has its own kitchen area. Kitchen areas and food storage areas was observed free of rodents and/or vermin. All required documents were observed posted in each classroom which is also where the sign-in and out sheets are located.

The outdoor activity spaces measured at a total of 4,522.47 sq. ft., sufficient for 60 children at one time. Facility is request for 77 children. A playground waiver request shall be submitted and approved prior to licensure. When LPA’s inspected the outdoor playground, LPA’s observed canopies and trees used for shade. Play areas have age appropriate play equipment and sufficient cushioning (turf) under the climbing structure and is fully fenced (above 4ft. high). Drinking water is readily accessible inside and outside the classroom via water fountains.

Incidental Medical services (IMS) policy for epi-pen, nebulizer and inhaler is on file and approved. 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. LPA and applicant discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Facility Representative 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 the facility representative today and reminded to keep anything that reads, “Keep Out of Reach of Children” inaccessible to children.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Clenista	TELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

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: BALDWIN ACADEMY	FACILITY NUMBER: 376105124
	VISIT DATE: 03/16/2023

NARRATIVE

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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.

Prior to licensure, Applicant shall provide an updated sketch, and request for a playground waiver due to limited square footage. Exit interview was conducted with Applicant. A preschool license for 77 children (ages 2-5 years old) in three buildings: “Big Nest” Building (in Room 1, 2 and 3), “Robins” Building (in Room 1 and the multipurpose room) and the “Canaries” Building (in Room 1, 2, 3, 4 and 5) may be granted upon receiving the above corrections and after a final file review. Applicant stated her understanding. This report shall be kept available at the facility for public review for 3 years.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Clenista	TELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

LIC809 (FAS) - (06/04)

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