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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700781
Report Date: 02/21/2023
Date Signed: 02/21/2023 03:05:30 PM

Document Has Been Signed on 02/21/2023 03:05 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: 0DATE:
02/21/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Lucelyna GodwinTIME COMPLETED:
03:00 PM
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On 2/21/23 at 2:30pm an office meeting was conducted with licensee representatives, Ed Stanfield, Association Director of Child Youth Developments, Lucelyna Godwin, Association Program Specialist and Marina West, Facility Director to discuss a self reported incident dated 12/7/22 and deficiency cited 12/14/22. Present at the meeting was Licensing Program Manager (LPM), Tulam Vu Licensing Program Analyst (LPA), Martha Malane.

On 12/14/22 during a case management inspection, the following deficiency was cited:
· Type A 101229(a)(1) Responsibility for Providing Care and Supervision – On 12/7/22 a child walked out of the outdoor activity space, through a classroom and to the courtyard without the supervision of a teacher.
On 11/20/19 a case management inspection was conducted due to a self reported incident where a child was left unattended in a restroom.

It is noted that the licensee corrected the above deficiencies in a timely manner. The director conducted a staff training to ensure children are supervised and provided the Department with a written plan of operation detailing how staff will ensure children are consistently supervised.

LPM discussed with licensee representatives the seriousness of the above deficiencies. Licensee representatives were provided with the following resources: A Technical Support Program (TSP) brochure, Best Practices – Lack of Supervision, CCLD Quarterly Update Winter 2022/2023, PIN 22-30-CCP, ccld.childcarevideos.org, Advocate information: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov, sdincidentreports@dss.ca.gov and the Duty Line 619-767-2248.

Licensee representatives was informed that repeated violations or failure to comply with licensing laws and regulations may result in administrative action taken by the Department. Licensee representatives stated they understood and will ensure the facility complies with all regulations and laws governing Child Care Centers.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2023
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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