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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105150
Report Date: 08/31/2023
Date Signed: 08/31/2023 10:48:15 AM

Document Has Been Signed on 08/31/2023 10:48 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:BALDWIN ACADEMY - INFANTFACILITY NUMBER:
376105150
ADMINISTRATOR:YULIA ZAETSFACILITY TYPE:
830
ADDRESS:1752 HORNBLEND STREETTELEPHONE:
(858) 270-5995
CITY:SAN DIEGOSTATE: CAZIP CODE:
92109
CAPACITY: 27TOTAL ENROLLED CHILDREN: 27CENSUS: 0DATE:
08/31/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Yulia ZaetsTIME COMPLETED:
10:30 AM
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On 08/31/2023 at 9am Licensing Program Analyst (LPA), Samantha Clenista conducted an announced Change of Location Pre-Licensing inspection. Upon arrival, LPA met with Center Director, Yulia Zaets. All indoor and outdoor activity space utilized for the children were inspected today. Facility is requesting to be licensed for 27 infants (ages 0-24 months old) in the following rooms located in the “Little Nest” Building: Playroom #1, #2, #3, #4 and #5. Fire clearance was granted on 08/16/23. The areas used for the infant program was observed to be separate from the preschool program, both indoors and outdoors. LPA informed Ms. Zaets that the programs shall never commingle at any given time and that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor play. Medications on site are stored and located in the director’s office in a cabinet.

LPA continued to tour the facility and measured all indoor and outdoor activity space. Total indoor activity space (Playrooms #1-5) measured at approximately 970.85 sq. ft., sufficient for a total of 27 children. There is a separate staff bathroom located in the Little Nest Building that is equipped with 1 toilet and 1 sink. There is a children’s bathroom located between Playroom #1 and #2 that consists of a changing table within arm’s reach of a sink and an additional toilet available for potty training children. There is an additional sink available for children in Room #3. LPA observed all indoor play space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, bookshelves, and other activity supplies for the children. There is a refrigerator for children’s use. Ms. Zaets is reminded that all infant bottles shall have their name and date on them. There is a separate crib area (not included in the activity square footage) located in Playroom #2, that currently has 5 cribs, for the younger infants. There are napping cots/mats for the older infants who can climb out of a crib. Infant needs and services plan will be stored in the classroom in a binder per child and Ms. Zaets is reminded that they have to be updated quarterly.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE: DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/31/2023
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: BALDWIN ACADEMY - INFANT
FACILITY NUMBER: 376105150
VISIT DATE: 08/31/2023
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The Director's office and staff restroom will be the isolation area for children who are ill. There is an operational carbon monoxide detector on site located in each classroom. All required documents were observed posted. The sign-in and out is located in each classroom. The facility has two fenced in playground areas located in the front yard (labeled Little Nest Play Yard #1 and #2). LPA informed Ms. Zaets that children must be escorted to and from the playground. The infant outdoor play areas measured at approximately 1,340.67 sq. ft., sufficient for only 17 children at one time. Facility is requesting to be licensed for 27 children. A playground waiver to share the playground at different times in the AM and PM due to limited square footage shall be submitted and approved prior to licensure. Area was observed to be fully fenced and free of hazards. Area had trees used for shade. Area had age appropriate toys and play equipment and had turf, however was still under construction. Drinking water is readily accessible inside and outside the classroom via refillable water fountains, faucets and water bottles. Ms. Zaets is reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

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

LPA discussed the safe sleep regulations with Ms. Zaets and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed Ms. Zaets of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Ms. Zaets 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: Tashima Daniel
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: BALDWIN ACADEMY - INFANT
FACILITY NUMBER: 376105150
VISIT DATE: 08/31/2023
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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

Ms. Zaets 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, the following is needed:
  • Complete the turfing located in the front yard area and send LPA pictures upon completion.
  • Obtain an approved shared playground waiver.

Exit interview was conducted and report was reviewed Ms. Zaets. A notice of site visit was given to Ms. Zaets and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. An infant license for 27 children (ages 0-24 months) may be granted upon receiving the above corrections and after conducting a final file review. Ms. Zaets stated her understanding. Ms. Zaets understands that this report shall be kept available at the facility for public review for 3 years.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
LIC809 (FAS) - (06/04)
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