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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701131
Report Date: 07/11/2022
Date Signed: 07/11/2022 01:25:12 PM


Document Has Been Signed on 07/11/2022 01:25 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:COPLEY-PRICE FAMILY YMCA PRESCHOOL CHILD CAREFACILITY NUMBER:
376701131
ADMINISTRATOR:CRISTINA JIMENEZFACILITY TYPE:
850
ADDRESS:4300 EL CAJON BOULEVARDTELEPHONE:
(619) 280-9622
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:90CENSUS: 48DATE:
07/11/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Cristina JimenezTIME COMPLETED:
12:30 PM
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On July 11th, 2022 at 12:00 PM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a case management inspection for the purpose to provide Technical Assistance (TA) resultant of a prior COVID 19 outbreak and to ensure local public health department, Centers for Disease Control (CDC) and licensing recommendations are currently adhered to by staff. LPA advised Director Jimenez of the meeting’s purpose and was granted facility entry.

The facility serves children ages 2 – 5 years. The following ratios were observed in 4 classrooms: Room 1 had thirteen (13) children (aged 2 - 3 years) supervised by two (2) teachers. Room 2 had sixteen (16) children (aged 3 - 4 years) supervised by two (2) teachers. Room 3 had twelve (12) children (age 4 - 5 years) supervised by two (2) teachers. Room 4 had seven (7) children supervised by two (2) teachers. Appropriate ratios were maintained, and visual observation noted. Staff present had required criminal background clearances.

The facility experienced a COVID 19 outbreak in June 2022. Staff have followed the reporting requirements with Licensing and the Local Health Department and worked with both departments to prevent the spread of COVID-19. During this TA inspection, LPA observed that COVID-19 awareness posters posted. The director has reviewed the COVID-19 Provider Information Notice (PIN) 22-10-CCP, the California Department of Public Health "Guidance for Child Care Providers and Programs", California Department of Public Health "Guidance for Face Masks" and the County of San Diego's COVID 19 Decision Tree.

No deficiencies were issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Jimenez.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:
DATE: 07/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/11/2022
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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