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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105162
Report Date: 01/16/2025
Date Signed: 01/16/2025 12:42:35 PM

Document Has Been Signed on 01/16/2025 12:42 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:NHA-CLAIREMONT MESA HEAD STARTFACILITY NUMBER:
376105162
ADMINISTRATOR/
DIRECTOR:		THERESA A. UYEDAFACILITY TYPE:
860
ADDRESS:4271 CLAIREMONT MESA BOULEVARDTELEPHONE:
(858) 581-2194
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY: 22TOTAL ENROLLED CHILDREN: 11CENSUS: 0DATE:
01/16/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:Lisa Grygera and Theresa Uyeda TIME VISIT/
INSPECTION COMPLETED:
12:50 PM
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On 1/16/2025 at 9:35am, Licensing Program Analyst (LPA), Selina Siao conducted an announced Pre-Licensing inspection for a new single license 376105162 as the facility has requested to add an infant and toddler component to the facility and removing the preschool component with facility number 376600747. Upon arrival, LPA met with facility representatives Area Manager, Lisa Grygera and Site supervisor, Theresa Uyeda. Applicant is requesting to be licensed for 6 infants ages 0 to 24 months in classroom #2 and 16 toddlers ages 18 to 36 months in rooms #1 and #3. Hours of operation will be Monday to Friday from 7am to 5pm.

All indoor and outdoor activity space utilized for the children was inspected today. LPA informed facility representative that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Site Supervisor, Theresa Uyeda stated that they will be in the individual’s child’s classroom. A fully equipped first aid kit is located in the kitchen area next to the refrigerator and each classroom also has a first aid kit. There is an operational carbon monoxide detector on site located in each classroom and the kitchen. All required licensing documents were observed posted in the lobby area by the entrance. Children will be signed in and out in each classroom.

LPA continued to tour the facility and measured all indoor and outdoor activity space. Total infant indoor activity space room #2 measured to be 321.19 square feet, which is sufficient to accommodate the requested capacity of 6 infants. The total toddler indoor activity spaces rooms #1 and #3 measured to be 1047.12 square feet, which is also sufficient for the requested capacity of 16 toddlers. LPA observed all indoor activity space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, cribs, napping cots for infants who can climb out of a crib, bookshelves, and other activity supplies for the children. Toys are safe with no sharp edges, splinters, or points, nor made of small parts that can present a choking hazard. Drinking water is available in the classrooms via a water dispenser and the infants and toddler will be using disposable cups and or bottles that the facility provides to drink water and milk. LPA observed all hazardous items to be inaccessible to children. Facility representative stated that there are no bodies of water or weapons on the property. Fire clearance was granted on 12/10/2024.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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: NHA-CLAIREMONT MESA HEAD START
FACILITY NUMBER: 376105162
VISIT DATE: 01/16/2025
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Facility does not have high chairs. The children’s chairs are made of washable, moisture-resistant material. Changing tables have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. Diapering sink is not used for meal preparation or dishwashing. Cribs meet regulatory requirements. Crib area is separated from activity space via a half wall with plexiglass on the top. This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. Facility has a total of 6 cribs in the infant crib area. Sleep logs will be kept in each child’s class. Needs and Services Plans and Sleep Plans will be kept in the Director’s office.

There shall be at least one potty chair for every five potty training infants. LPA observed a total of 1 sink available for infants and there are 4 sinks, 2 toilets and 2 urinals for the toddlers. These are sufficient to accommodate the requested capacity of 6 infants and 16 toddlers. There is a separate staff restroom equipped with 2 toilet and a sink. The isolation area for children who are ill will be in the Director’s office and there is also a separate isolation/ill child sink and toilet located in the staff’s restroom.



Facility will be providing breakfast, lunch, and AM/PM snacks to the children. The kitchen area currently includes a refrigerator for the children, a sink and a food warmer. The kitchen area and food storage areas was observed to be free of rodents and/or vermin. Hazardous items in kitchen are stored under the kitchen sink and drawers and safety latches will be installed to prevent children’s access.

The facility currently has a fully fenced playground area which is separate from other components. The facility’s chain link fencing is at least four feet high. The total square footage for the infant outdoor activity space measured to be 321.29 square feet, which is sufficient to accommodate the requested capacity of 6 infants. The toddler outdoor activity space measured to be 1814.15 square feet, which is sufficient to accommodate the requested capacity of 16 toddlers. Shade is provided via a large sail shade structure, sail shades and the building. There are sufficient outdoor age-appropriate toys and play equipment available on the infant and toddler playground. There is a slide structure on the toddler playground for children ages 6 to 23 months and it is properly anchored. There is adequate cushioning in fall zones of climber provided by thick-soft turf at both the infant and toddler outdoor playground. Drinking water will be available outside via a gallon water igloo to refill the children’s disposable plastic cups or bottles. LPA observed all hazardous items on the playground to be inaccessible to children. Facility representative was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
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: NHA-CLAIREMONT MESA HEAD START
FACILITY NUMBER: 376105162
VISIT DATE: 01/16/2025
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For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

The following corrections are needed prior to the issuance of the license:

· Install a child safety latch for the sink cabinet under the kitchen sink to ensure children’s safety.
· Install safety latches for the two kitchen drawers that has some sharp items to ensure children’s safety.

Facility representatives understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
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