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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701403
Report Date: 08/02/2021
Date Signed: 08/02/2021 05:04:46 PM

Document Has Been Signed on 08/02/2021 05:04 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:GREEN BEANS PRESCHOOLFACILITY NUMBER:
376701403
ADMINISTRATOR:LOUISE KRISTOFFERSONFACILITY TYPE:
850
ADDRESS:3975 FRONT STREETTELEPHONE:
(858) 945-2302
CITY:SAN DIEGOSTATE: CAZIP CODE:
92103
CAPACITY: 23TOTAL ENROLLED CHILDREN: 0CENSUS: 21DATE:
08/02/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:03 AM
MET WITH:Louise Kristofferson TIME COMPLETED:
03:34 PM
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This is an electronic version of an original hand written report that was completed and signed by licensee and the Department on 08/02/21. On 08/08/21 at 11:03 a.m, Licensing Program Analyst (LPA), Rajani Goudreau conducted an announced Case Management – Licensee Initiated Inspection. Upon arrival, LPA met with licensee, Louise Kristofferso and disclosed the purpose of the inspection. LPA proceeded to tour the facility indoors and outdoors. Facility is requesting to increase the toddler option capacity and add addition room to the toddler option. The following ratios were observed: 15 preschool children with two staff members and six toddlers and one staff member. Facility operates Monday through Friday from 7:00 a.m. to 5:30 p.m.

All classrooms were inspected and measured during this inspection and they measure the following:

· Preschool room (2 through 5 years old): measured a total of 610.98 square feet.

· Toddler option room (18 through 36 months): measured a total of 345.59 square feet.



The total indoor space measures 956.57 square feet, which is sufficient to accommodate 27 children at one time. However, based on the toddler option indoor square footage there is only sufficient space for nine toddlers. Licensee has agreed to lower the requested toddler option capacity from 10 to 9 toddlers. LPA obtained an updated LIC200A – Application at time of inspection. The classrooms are equipped with appropriate napping equipment and furniture, including chairs, cubbies, bookshelves, and other materials for the children. The preschool and the toddler children share a restroom containing two sinks and two toilets. There is one changing table within arm’s reach of a sink near the restroom. LPA informed licensee a plan of operation shall be submitted regarding supervision, ratio to be maintained, non-comingling of the preschool children and the changing table usage. The number of toilets and sinks is sufficient to accommodate the requested capacity of 26 children including 17 preschoolers and 9 toddlers. Children are to be escorted and actively supervised by staff to and from the restroom. Drinking water is readily available for the children both indoors and outdoors. See LIC809-C continuation page...
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE: DATE: 08/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/02/2021
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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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: GREEN BEANS PRESCHOOL
FACILITY NUMBER: 376701403
VISIT DATE: 08/02/2021
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This is an electronic version of an original hand written report that was completed and signed by licensee and the Department on 08/02/21.

There is one staff restroom containing one toilet and one sink designated for ill children, if needed. The is an isolation area for the preschool children located in the preschool room and an isolation area for the toddler children located in the toddler room. There is a functioning carbon monoxide detector in the facility and a first aid kit with required supplies. Disinfectants, cleaning solutions, and other hazardous substances shall be kept inaccessible. Required documents are posted in the facility. The Preschool play yard located in the back of the facility was inspected and measured a total of 1,718.01 square feet. The toddler play yard located near the front of the facility was inspected and measured a total of 404.83, which is sufficient for five toddlers at one time. LPA informed licensee a playground waiver request shall be submitted and approved by the department prior to the granting of the capacity increase. LPA observed age appropriate play equipment and toys available for the children’s use in the preschool and the toddler play yards. There are canopies for shade in the preschool and toddler outdoor play yards. Proper supervision and placement of staff on the playground was advised to ensure the supervision and the safety of children. Water is readily available for the children’s use both indoors and outdoors.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Section 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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. Services are in place.

A fire clearance for 27 Preschool children was granted on 06/21/21. An updated fire clearance will be requested due to the change on the requested capacity from 27 to 26 children.

The following is pending, prior to the granting of the capacity increase:
· Waiver request for the toddler play yard due to insufficient outdoor space
· Plan of operation for the shared restroom usage between the preschool and the toddler children

No deficiencies issued throughout today's inspection. An exit interview was conducted with the licensee. The following was discussed and provided: LIC809, LIC9213-Notice of Site Visit and Appeal Rights. LPA informed Owner/Director, Notice of Site visit shall be posted for 30 days from today's date.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2021
LIC809 (FAS) - (06/04)
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