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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600552
Report Date: 08/01/2023
Date Signed: 08/01/2023 10:07:07 AM

Document Has Been Signed on 08/01/2023 10:07 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MISSION VALLEY YMCA - BAY PARK ELEMENTARY SCH. AGEFACILITY NUMBER:
376600552
ADMINISTRATOR:DAYNA WHITTYFACILITY TYPE:
840
ADDRESS:2433 DENVER STREETTELEPHONE:
(619) 298-3576
CITY:SAN DIEGOSTATE: CAZIP CODE:
92110
CAPACITY: 125TOTAL ENROLLED CHILDREN: 125CENSUS: 0DATE:
08/01/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Dayna WhittyTIME COMPLETED:
10:30 AM
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On 8/1/23 at 9:15am, Licensing Program Analyst (LPA) Patrick Ma conducted an announced Case Management – Licensee Initiated inspection regarding capacity increase. Upon arrival, LPA met with Site Supervisor, Dayna Whitty, Association Program Specialist of Child & Youth Development, Lucelyna Godwin, and Director, Margaret Giuffre. There were no enrolled children present, school was on summer break.

Application requesting to add rooms B-28, Room 13, and increase capacity was received on 7/6/23. Fire Inspection clearance was received on 7/24/23.

Rooms B-23, B-28, 20, 13, auditorium and cafeteria were inspected. All rooms used will not exceed maximum capacity allowed per Fire Marshall requirements, and overflow will utilize outdoor space or the auditorium and/or cafeteria. Outdoor capacity is not affected. Ratios must always be maintained.

There were sufficient age-appropriate furnishings, toys, books and games available, and no hazards were noted in any of the rooms. Hand washing and toileting areas are in a safe, sanitary and operating condition behind the bungalow rooms, in Room 13, and throughout the school.

No deficiency observed during the visit. Capacity increase is granted effective today.
Exit interview conducted and report was reviewed with the facility representatives Dayna Whitty, Lucelyna Godwin, and Margaret Giuffre. A notice of site visit was given to facility representatives and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE: DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/01/2023
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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