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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700722
Report Date: 04/10/2023
Date Signed: 04/10/2023 04:46:08 PM

Document Has Been Signed on 04/10/2023 04:46 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:PACIFIC BEACH KLASSIC KIDSFACILITY NUMBER:
376700722
ADMINISTRATOR:FRANCESKA MCKENZIEFACILITY TYPE:
840
ADDRESS:1234 TOURMALINE STREETTELEPHONE:
(619) 534-0446
CITY:SAN DIEGOSTATE: CAZIP CODE:
92109
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 24DATE:
04/10/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Franceska McKenzieTIME COMPLETED:
05:00 PM
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On 4/10/23 at 1:30 PM, Licensing Program Analyst (LPA) Adrian Mangina visited the facility to conduct an annual inspection. Upon arrival LPA met with Director Franceska McKenzie and proceeded to tour the facility. During today's inspection, there were 24 children with 3 staff in 1 classroom. Appropriate ratios and capacity were observed. Appropriate care & visual supervision were also observed during the inspection while children were outside and participating in classroom activities. Facility utilizes rooms B-17 and B-18 (when over 30 children).

Furniture and age appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation. Floors appear to be clean and safe. Drinking water is readily accessible. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. Paper towels and toilet paper are available. Bathroom is lighted and has ventilation. Food service is for snacks only and snack area is clean and free of hazards. Facility Representative reminded to store all snacks in sealed and dated cpntainers/ Menu is posted. Adequate food is available for snacks. leaning supplies are kept separate from food and are inaccessible to children. Storage containers for solid waste needs to have have tight-fitting cover and kept in good repair. Storage areas for poisons are locked. Director stated there are no firearms or other weapons on the premises. All foods/beverages capable of rapid spoiling are stored in covered containers at 45 F or less. The facility appears to be free of insects and rodents. There is an operational carbon monoxide detector in each room of the facility. Last fire drill was conducted on 4/4/23 and last earthquake drill was conducted on 12/16/22. The last fire department visit was on 10/4/22.

Outdoor play area is a fenced playground with sufficient material for cushioning under play structures. There are no bodies of water at this facility. Climbing structures are securely fixed to the ground and there is ample shade Equipment is age appropriate. Area has drinking water readily accessible outside and inside and grounds are free of debris or potential hazards.

(continued on LIC809 page 2)
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 04/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/10/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
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: PACIFIC BEACH KLASSIC KIDS
FACILITY NUMBER: 376700722
VISIT DATE: 04/10/2023
NARRATIVE
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LIC809 page 2

LPA reviewed medication storage. There are currently no children using medications. Three of three staff have current CPR/First Aid and mandated reporter training certificates. All staff have required immunizations. Each personnel record contains documentation of educational background and training. Sign ins were reviewed. Children’s records contain admission agreements and required documents. A review of staff records on this date indicates th all facility staff who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

This facility provides Incidental Medical Services – IMS. There are currently no children requiring medications. 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



continued on LIC809 page 3
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2023
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: PACIFIC BEACH KLASSIC KIDS
FACILITY NUMBER: 376700722
VISIT DATE: 04/10/2023
NARRATIVE
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LIC809 page 3

No deficiencies cited. See LIC9102's for Technical Violations given.


Exit interview conducted and report was reviewed with the facility representative, Franceska McKenzie A notice of site visit was given and must remain posted for 30 days.

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.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2023
LIC809 (FAS) - (06/04)
Page: 5 of 5