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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701537
Report Date: 12/19/2022
Date Signed: 12/19/2022 04:50:04 PM

Document Has Been Signed on 12/19/2022 04:50 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:ADVENTURES IN MONTESSORI OCEAN BEACHFACILITY NUMBER:
376701537
ADMINISTRATOR:TANNIA FAJARDOFACILITY TYPE:
850
ADDRESS:4735 SANTA CRUZ AVE.TELEPHONE:
(619) 850-0533
CITY:SAN DIEGOSTATE: CAZIP CODE:
92107
CAPACITY: 46TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
12/19/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Tannia FajardoTIME COMPLETED:
02:00 PM
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On 12/19/22 at 9:30am, Licensing Program Analyst (LPA), Martha Malane arrived at the facility to conduct a pre-licensing inspection. Upon arrival, LPA met with Applicant, Tannia Fajardo and was led on a tour of the facility. Applicant is requesting a capacity of 46 children (age 2-5 years) in classrooms 1, 2, 3, 4 and 5. Applicant’s planned hours of operation are Monday - Friday 7:30am – 5:00pm.

The indoor space measured a total of 1,555.25 square feet which is sufficient to accommodate 44 children, however applicant is requesting a capacity of 46 children. Applicant will submit an updated LIC200A with a requested capacity of 44. Classrooms are equipped with age appropriate furniture and equipment including mats for napping, tables, chairs, cubbies, bookshelves and other materials for children. There are five (5) toilets and six (6) sinks available for children’s use, which is sufficient to accommodate the requested capacity. Filtered drinking water is available outdoors and indoors via water jugs and refillable water bottles brought from home. There is a separate restroom for staff located next to the kitchen which will be utilized as an isolation restroom for children who are ill. The director’s office will be utilized for the isolation area if a child becomes is ill. Disinfectants and cleaning solutions are kept in an inaccessible cabinet in the kitchen. The kitchen includes one (1) sink, one (1) refrigerator with a freezer, one (1) microwave, one (1) stove and storage space. The facility utilizes the Pro-Care app for sign in/out. Required documents are posted. There is an operational carbon monoxide detector.

The outdoor activity spaces for preschool children were inspected and measured a total of 3,428 square feet which is sufficient to accommodate 45 children. The outdoor spaces are fenced and shade is provided by the use of a tree, a canopy and shade sails. There is rubber cushioning under high climbing equipment and slides to absorb falls. Proper supervision and placement of staff outside was discussed to ensure the safety of children at all times.

Continued See LIC809C…
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2022
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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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: ADVENTURES IN MONTESSORI OCEAN BEACH
FACILITY NUMBER: 376701537
VISIT DATE: 12/19/2022
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Applicant stated there are no bodies of water and LPA did not observe any bodies of water.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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.

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. LPA reviewed the LIC311A with the applicant. LPA provided resources and 21-21-CCP regarding testing of water. Applicant was reminded that water must be tested for lead within 180 days of licensure.

A fire clearance for 46 children (age 2 – 5 years) was granted 10/18/22.

Prior to licensure the following is needed:
1) Updated LIC200A with requested capacity updated
2) Submit proof of signs on classrooms with room numbers

Exit interview was conducted with Applicant, Tannia Fajardo. Once the listed requirements have been met and proof submitted to CCL a license may be granted after a final file review.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2022
LIC809 (FAS) - (06/04)
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