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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701573
Report Date: 07/24/2024
Date Signed: 07/24/2024 10:47:45 AM

Document Has Been Signed on 07/24/2024 10:47 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:SOUTH BAY FAMILY YMCA - SOTOMAYORFACILITY NUMBER:
376701573
ADMINISTRATOR/
DIRECTOR:		LEO CRUZFACILITY TYPE:
860
ADDRESS:1790 SANTA CHRISTINA AVENUETELEPHONE:
(619) 208-9707
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY: 75TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
07/24/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:33 AM
MET WITH:Lucelyna Godwin/Association Program Specialist of Child & Youth Development, Miriam Martinez-Amaya/Department Head-Child Youth Development and Leo Cruz/Site Supervisor/CoordinatorTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 07/24/2024 at 9:20am, Licensing Program Analyst (LPA), Selina Siao conducted an announced Pre-Licensing inspection for a new license. This facility is located at Sonia Sotomayor Elementary School that is newly build. Upon arrival, LPA met with Facility Representatives Lucelyna Godwin, Miriam Martinez-Amaya and Leo Cruz. Applicant is requesting to be licensed for 75 school-age children ages UTK through 12 years old in rooms 301, 305, Innovation Center/aka library, Maker Space and Multipurpose Room. Hours of operation will be 6am to 6pm.

All indoor and outdoor activity space utilized for the children was inspected today. LPA informed facility representatives that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, facility representatives stated that they will be in the main room 301. A fully equipped first aid kit is in the main room 301. There is an operational carbon monoxide detector on site located in each of the rooms, in room 301 the carbon monoxide detector is near the sink area and for the other rooms it's near the fire extinguisher. All required licensing documents were observed posted on the wall outside the main room 301. Children will be signed in and out at the main room 301 that is near the office.

LPA continued to tour all the classrooms and this facility is exempt from square footage and toilet requirements, per Health & Safety Code sections 15896.806(a), (a)(1), (1)(2) and (d). LPA observed all indoor activity space to be complete with safe age-appropriate furniture and equipment, including tables, chairs, cubbies, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via the children's own water bottle and the children can refill their water bottle via the drinking fountains, water station throughout the campus. Facility representatives stated that portable jug of water will be brought to the rooms that does not have a drinking fountain. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 07/19/2024.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE: DATE: 07/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2024
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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SOUTH BAY FAMILY YMCA - SOTOMAYOR
FACILITY NUMBER: 376701573
VISIT DATE: 07/24/2024
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The children will be using the toilet and sink in room 301, the boys and girl’s restroom located in the main building down the hallway by room 301, the boys and girls’ restrooms near the outdoor playground and the toilet that is near the smaller play structure playground. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be the school nurse station area and there is also a toilet and sink at the nurse station area.

Facility will provide snacks for the children and there is a refrigerator in room 301 for the program to store snacks and drinks. LPA observed the facility to be free of rodents and/or vermin. Food was observed to be properly stored separate from cleaning materials.

The facility currently has a fully fenced playground area which is separate from other components. Fencing is at least four feet high. The children will be using the entire outdoor playground area, including the picnic tables, block top area, basketball court, outdoor turf area, small play structure that is appropriate for children ages 2- to 12-year-old and the larger play structure that is age appropriate for children ages 5 to 12 years old. There is adequate cushioning in fall zones of climber provided by turf. There are multiple shade structures and build in umbrellas at the outdoor areas. Facility representatives was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

A license for 75 children will be granted upon a final file review.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024
LIC809 (FAS) - (06/04)
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