376600640-2-10-2023-20-CC-RGOU-CNWUQL-20230210144720

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376600640
Report Date: 02/10/2023
Date Signed: 02/10/2023 02:47:31 PM

Document Has Been Signed on 02/10/2023 02:47 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	WEBSTER STATE PRESCHOOL		FACILITY NUMBER:	376600640
ADMINISTRATOR:	CARMI STROM		FACILITY TYPE:	850
ADDRESS:	4801 ELM STREET		TELEPHONE:	(619) 362-3000
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92102
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 14	DATE:	02/10/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:28 PM
MET WITH:	Carmi Strom		TIME COMPLETED:	03:00 PM

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 02/10/23, at 12:28 p.m., Licensing Program Analyst (LPA), Rajani Goudreau conducted an unannounced Annual Inspection and met with Director, Carmi Strom. LPA disclosed the purpose of the inspection and toured the facility indoors and outdoors. This is an AM/PM half day program which operates on a traditional school year schedule following the San Diego Unified School District. The preschool operates at Noah Webster Elementary School. The preschool program operates two sessions; Monday through Friday from 8:45 a.m. to 11:45 a.m. and 12:30 a.m. to 3:30 p.m. There is one classroom in operation: B2. The following ratio was observed:14 children with three staff members. There is no swimming pool or other bodies of water on the premises, per observation. There are no firearms or ammunition on the premises, per director. Disinfectants, cleaning solutions, medication and other hazardous items were made inaccessible, per observation. No poisons were observed during the inspection. Furniture and equipment in the classroom were observed to be in good condition, free of sharp, loose or pointed parts. The playground equipment and play materials were observed to be in safe condition, free of sharp, loose or pointed parts. The play structure and swings are suitable for ages 2 through 5 years, per observation. The surface of the outdoor activity space was observed to be maintained in a safe condition and is free of hazards. There is sufficient rubber matting material to absorb falls. In addition, there is shade during outdoor play by the use of a roof shade. The children utilize a girls and boys restroom near the outside of the preschool classroom. All toilets and hand washing facilities were observed to be in safe and sanitary operating condition. The floors in the facility were observed to clean and safe. Drinking water is available both indoors and outdoors by the use of water fountains and disposable cups provided by the facility or brought from home. Based on observation, the facility has one functioning carbon monoxide detector and a first aid kit that meets statutory requirements. Restroom and playground waivers in place. Disaster and fire drills completed and documented on 01/26/23, per file review. Classroom B3 currently listed under the preschool license is not in use as a school district program is utilizing the classroom.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: WEBSTER STATE PRESCHOOL	FACILITY NUMBER: 376600640
	VISIT DATE: 02/10/2023

NARRATIVE

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Capacity and limitations as specified on the license are being maintained, per observation. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility, based on file review. The name of the childcare center director or fully qualified teacher(s) designated to act in the director’s absence has been reported to the Department, per file review. Sign in/out sheets reviewed and observed to have the parent’s/authorized representative’s full legal signatures and record the time of day. Children were observed to be under supervision, including visual supervision. Based on observation, the facility maintains a ratio of one teacher supervising no more than eight children in care. LPA reviewed a sample of children’s files and observed files to be complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessments. LPA reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles and current mandated reporter training certificates. Required documents were observed to be posted in the classroom.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

This facility provides Incidental Medical Services - IMS. No children in care receiving IMS services. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice/ (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.

The following is pending with a due date of March 10, 2023:

Transfer fingerprint clearance for licensee designee to current facility.
Provide written request for the removal of classroom B3 from the license; signed and dated by licensee designee and updated facility sketch reflecting designated classroom (B2) for the preschool license.

No deficiencies issued during today’s inspection. An exit interview was conducted with Director, Carmi Strom. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

LIC809 (FAS) - (06/04)

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