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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600490
Report Date: 10/24/2024
Date Signed: 10/24/2024 11:33:02 AM

Document Has Been Signed on 10/24/2024 11:33 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:EASTLAKE COMMUNITY CHURCH PRESCHOOLFACILITY NUMBER:
376600490
ADMINISTRATOR/
DIRECTOR:
DINORAH JUAREZFACILITY TYPE:
850
ADDRESS:2351 OTAY LAKES ROADTELEPHONE:
(619) 421-4156
CITY:CHULA VISTASTATE: CAZIP CODE:
91915
CAPACITY: 174TOTAL ENROLLED CHILDREN: 174CENSUS: 0DATE:
10/24/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Licensee Representative, Cindy Rodriguez and Center Director, Dinorah Juarez TIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On 10/24/2024 at 10:15am, an office meeting was conducted to discuss deficiencies cited on 8/28/2024. Present at the meeting were Licensee Representative, Cindy Rodriguez; Center Director, Dinorah Juarez; Licensing Program Managers (LPMs) Tulam Vu and Cynthia Biszant and Licensing Program Analysts (LPAs) Vicky Williamson, Shannan Williams and Jacqueline Macias.

On 8/28/2024 during a case management inspection, the facility was cited Type A, Section 101229(a)(1) Responsibility for Providing Care and Supervision: A two-year-old daycare child was left on the playground inside of a locked gate without supervision for approximately 4 minutes. Facility was also cited three Type A citations within 12 months: Health Related Services and Personal Rights. It is noted that the director corrected all deficiencies in a timely manner. Director stated that all staff members have received training regarding the personal rights of children, supervision of children and reviewed videos on the CCL website regarding Supervision.



LPM discussed with Licensee Representative and Center Director the above deficiency, transitioning procedures and personal rights violations to prevent future violations which will lead to civil penalty assessment(s) and a Non-Compliance Conference (NCC).

LPM suggested that training be obtained from an outside vendors with the Center Director and all staff responsible for the care and supervision of children. Center Director stated that name to face procedures have been implemented, and additional checks of the playground when transitioning to and from the playground. Center Director stated that ongoing quarter training in the above areas, for staff by utilizing CCL's resources (CCLD website training videos and Title 22 Regulations) and a plan of operation related to these areas.
See LIC 809C Continuation...
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2024
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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: EASTLAKE COMMUNITY CHURCH PRESCHOOL
FACILITY NUMBER: 376600490
VISIT DATE: 10/24/2024
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Technical Support Program (TSP) services/training was discussed with Licensing Representative and the Center Director during the meeting and advised Center Director to register for Provider Information Notifications (PINs). Licensee is interested in the TSP program.


The Center Director was provided with the following resources: A Technical Support Program (TSP) brochure.mailto:childcaretechnicalsupport@dss.ca.gov Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.go, Smart Horizonhttps://www.smarthorizons.org/childcare and R & R (YMCA) https://www.ymcasd.org. Director was provided Best Practices Lack of Supervision handout.

sdincidentreports@dss.ca.gov and the Duty Line 619-767-2248. Please submit your Unusual Incident Report by email to: SDIncidentReports@dss.ca.gov or by Fax at (619) 767-2203.

Licensee Representative and Center Director were informed that repeated violations or failure to comply with licensing laws and regulations may result in administrative action taken by the Department. Licensee Representative and Center Director stated they understood and will ensure the facility complies with all regulations and laws governing Child Care Centers.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC809 (FAS) - (06/04)
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