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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700781
Report Date: 11/15/2022
Date Signed: 11/15/2022 12:24:08 PM

Document Has Been Signed on 11/15/2022 12:24 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:RYAN FAMILY YMCA PRESCHOOLFACILITY NUMBER:
376700781
ADMINISTRATOR:MARINA WESTFACILITY TYPE:
850
ADDRESS:4425 VALETA STREETTELEPHONE:
(619) 224-4661
CITY:SAN DIEGOSTATE: CAZIP CODE:
92107
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 20DATE:
11/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:22 AM
MET WITH:Marina WestTIME COMPLETED:
11:00 AM
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On 11/15/22 at 9:22am Licensing Program Analyst (LPA), Martha Malane conducted an unannounced case management inspection for the purpose of a temporary room and restroom usage due to construction in the preschool rooms. Upon arrival, LPA met with Director, Marina West. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 20 children and four (4) staff members present.

Licensee is requesting to utilize the fellowship hall and adjoining restrooms for the time frame of 12/5/22 – 12/23/22. Hours of operation are Monday - Friday from 7:30am - 5:00pm.
The fellowship hall was inspected and measured a total of 2411.90 square feet which is sufficient to accommodate the requested capacity of 30 children. A restroom is available for exclusive use by preschool children at the entrance of the fellowship hall. Director will place signs on the restroom door to indicate use by preschool children only, Monday – Friday 7:30am – 5:00pm. There were two (2) toilets and two (2) sinks available which is sufficient to accommodate the requested capacity. A staff restroom in the fellowship will be utilized as an isolation restroom if a child becomes ill. LPA observed restrooms to be clean; toilets and sinks were in working order. Facility will utilize the current outdoor activity space. Director stated there are no bodies of water or swimming pools on the premises.

A temporary fire clearance to operate in the fellowship was granted 11/10/22.

The following corrections are required:
  • Signage on the restroom door
  • Equipment and materials for children’s use set up in the fellowship hall
  • Fireplace made inaccessible to children
Once proof of correction is submitted to CCL, the licensee’s request to temporarily operate in the fellowship hall and adjoining restrooms from 12/5/22 – 12/23/22 will be granted.

No deficiencies cited. Exit interview conducted with Director, Marina West. Notice of Site visit shall be posted for 30 days from today's date. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2022
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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