376105146-10-3-2023-51-CC-SCLA-CW9PM8-20231003112554

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376105146
Report Date: 10/03/2023
Date Signed: 10/03/2023 11:25:59 AM

Document Has Been Signed on 10/03/2023 11:25 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	NOTRE DAME ACADEMY PRESCHOOL		FACILITY NUMBER:	376105146
ADMINISTRATOR:	MELISSA AMADOR		FACILITY TYPE:	850
ADDRESS:	4345 DEL MAR TRAILS ROAD		TELEPHONE:	(858) 509-2300
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92130
CAPACITY: 105	TOTAL ENROLLED CHILDREN: 105	CENSUS: 49	DATE:	10/03/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Melissa Amador		TIME COMPLETED:	11:50 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 10/03/2023 at 8:40am, Licensing Program Analysts (LPA), Samantha Clenista and Saraliz Velando conducted an announced Pre-Licensing inspection. Upon arrival, LPAs met with Center Director, Melissa Amador. All indoor and outdoor activity space utilized for the children were inspected today. Facility is requesting to be licensed for 105 preschoolers (ages 2-5 years old) in following rooms: Preschool #1, Preschool #2, Pre-K #1 and Pre-K #2. Fire clearance was granted on 08/23/2023. LPA informed Director that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor play. Medications that are on site are stored in the classroom. LPAs continued to tour the facility and measured all indoor (rooms mentioned above) and outdoor activity space. Total indoor activity space measured at approximately to 3,731.42 sq. ft., sufficient for requested capacity. Facility has a total of 8 sinks and 8 toilets available for the children. There are several separate staff bathrooms located in the main office area. 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. The director's office and staff restroom will be the isolation area for children who are ill. Facility does not provide snacks or lunches, however, has extra for when a parent/guardian forgets. Food storage area was observed free of rodents and/or vermin. There is an operational carbon monoxide detector on site located in each classroom. All required documents were observed posted. Sign-in and out area is located in front of each classroom. Classrooms have automatic hand sanitizer dispensers that are at children's height, however, LPAs observed no batteries in them, so they are inoperable. LPAs reminded Director that all items that are hazardous and reads "Keep out of Reach of Children" shall remain inaccessible to children at all times.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: NOTRE DAME ACADEMY PRESCHOOL	FACILITY NUMBER: 376105146
	VISIT DATE: 10/03/2023

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
26
27
28
29
30
31
32

The facility currently has a separately fenced in playground, however, is shared with the private kindergarteners that are on site. A playground waiver to share the playground at different times from the kindergarteners in the AM and PM shall be submitted and approved prior to licensure. LPAs informed Director that children must be escorted to and from the playground. There is a main playground and a patio area between all classrooms that are used to eat snacks and lunches. The total outdoor activity areas measured at approximately 20,020.96 sq. ft., sufficient for the requested capacity. Areas were observed to be fully fenced in per regulation. Playground area had trees and canopies used for shade and had age-appropriate toys and play equipment available for the children served. LPAs observed rubber turf under the play structure, sufficient to sustain a fall. The patio/lunch table area consisted of various lunch tables fit for the children enrolled.

Drinking water is readily accessible inside and outside the classroom via Culligan Water jugs and refillable water bottles (required for the parents/guardians to bring). Director was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

LPAs reviewed with Director the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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: 10/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: NOTRE DAME ACADEMY PRESCHOOL	FACILITY NUMBER: 376105146
	VISIT DATE: 10/03/2023

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
26
27
28
29
30
31
32

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) tollfree ADA Information Line at (800) 514-0301 (voice) or (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.

Prior to licensure, facility shall submit a waiver request to have the playground and patio/lunch table area be a shared outdoor space at separate times. Exit interview was conducted and report was reviewed with Director. A notice of site visit was given to must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Facility has tested their water for lead already on 07/28/2022, and no exceedance was reported. Director is aware to keep the lead results available for review on site and that retesting shall be conducted every 5 years after the date of initial test. A license for 105 preschool children (ages 2-5) in Preschool #1, Preschool #2, Pre-K #1 and Pre-K #2 may be granted upon receiving the above corrections and after conducting a final file review. Director understands 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: 10/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023

LIC809 (FAS) - (06/04)

Page: 3 of 3