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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700534
Report Date: 08/04/2022
Date Signed: 08/04/2022 02:48:54 PM

Document Has Been Signed on 08/04/2022 02:48 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:PALOMAR FAMILY YMCA-HERITAGE CHARTER SCHOOLFACILITY NUMBER:
376700534
ADMINISTRATOR:ALEXIA CITALFACILITY TYPE:
840
ADDRESS:1855 EAST VALLEY PARKWAYTELEPHONE:
(760) 644-2185
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
08/04/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Lucelyna GodwinTIME COMPLETED:
03:00 PM
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On August 4, 2022 at 2:10 pm, Licensing Program Analysts, (LPAs) Ana Noble and Jessica Rubio arrived at the facility to conduct a licensee initiated case management for a room change and capacity increase. The new classroom to be used on the school site is Room #3, 4 and Cozy Corner will be used for extra activities. The facility is located on the Heritage Charter School Campus. The Fire Clearance was granted 7/29/2022.

Per Health and Safety Code Section 1596.806 the following applies:
(a) A room used as a classroom by a school-age child care program shall not be required to meet the square footage or toilet requirements for child day care centers if the program is operated on either of the following:
(1) A functioning school site in the same facilities that have housed school children during the day, before or after school hours, or before and after school hours.
(2) A functioning school site in facilities certified as usable as a classroom for instruction. A building owned by a school district, the state, or the school-age child care program may meet the certification requirement if either of the following is provided to the department:
(A) Evidence that the building was approved as a classroom by the office of the State Architect.
(B) A certification statement signed by the superintendent of the schools, or his or her designee, in the district where the school-age child care program is located, that the classroom building is of sufficient size to accommodate public instruction. The school district may make this certification regardless of the ownership of the classroom.
(b) School grounds, other than rooms used as classrooms, used by a school-age child care program operated on a functioning school site pursuant to either paragraph (1) or (2) of subdivision (a) shall be exempt from all of the following requirements imposed by the department on child day care facilities:
(1) Fencing, outdoor activity space, toilet, and isolation space requirements.

There are no corrections required before operating in the NEWLY assigned Classroom #3, 4 and Cozy Corner with the capacity of 60.
Exit interview conducted, report and appeal rights were reviewed with Facility representative Lucelyna Godwin. A copy of this report and appeal right provided on this date.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE: DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/04/2022
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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