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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700781
Report Date: 12/14/2022
Date Signed: 12/15/2022 03:48:49 PM

Document Has Been Signed on 12/15/2022 03:48 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, 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: 29CENSUS: 23DATE:
12/14/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:21 PM
MET WITH:Marina WestTIME COMPLETED:
04:15 PM
NARRATIVE
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On 12/14/22 at 3:21pm Licensing Program Analyst (LPA), Martha Malane conducted an unannounced case management inspection for the purpose of following up on a self-reported incident dated 12/7/22. 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 23 children and two (2) staff members present. Hours of operation are Monday – Friday 8:00am – 5:00pm.

Director stated that on 12/7/22 at 10:30am there were five (5) staff and 23 children in the preschool yard. The preschool yard is located directly outside the classroom doors. At 10:15am Child 1 (C1) left the boundaries of the preschool play yard and entered the Grasshoppers Classroom without supervision. C1 then walked through the classroom to the outside courtyard without supervision where a construction worker noticed the child. At that time, staff member Gabby Farr walked to the courtyard and provided supervision to C1.

The director stated there are cameras in the preschool classrooms, however during the installation construction of new windows, cameras were not in operation.

Based on the obtained information, a Type A violation of California Code of Regulations, (Title 22, Division 12), is being cited on the attached LIC 809D.

LPA informed Director, Marina West that this report dated 12/14/22 documents one (1) Type A citation, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed Director, Marina West to provide a copy of this licensing report dated 12/14/22 that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. LPA provided Director, Marina West with a blank LIC 9224 form.

LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted with Director, Marina West.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 12/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/14/2022
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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Document Has Been Signed on 12/15/2022 03:48 PM - It Cannot Be Edited


Created By: Martha Malane On 12/14/2022 at 02:51 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: RYAN FAMILY YMCA PRESCHOOL
FACILITY NUMBER: 376700781

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/15/2022
Section Cited
CCR
101229(a)(1)

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101229(a)(1) Responsibility for Providing Care and Supervision No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. This requirement is not met as evidenced by:
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Director stated all staff will be trained on the requirements of supervision by 12/15/22. Evidence of this training will be submitted to Licensing by 12/15/22. Director stated she will submit a plan of correction to ensure children are provided visual supervision at all times.
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Based on staff interviews, staff did not ensure children were provided visual supervision at all times which poses an immediate health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Tulam Vu
LICENSING EVALUATOR NAME:Martha Malane
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2022


LIC809 (FAS) - (06/04)
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