Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806179
Report Date: 10/28/2016
Date Signed 10/28/2016 03:23:08 PM

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:ST. KIERAN'S PRE-SCHOOLFACILITY NUMBER:
370806179
ADMINISTRATOR:DEBBIE EDELBROCKFACILITY TYPE:
850
ADDRESS:1347 CAMILLO COURTTELEPHONE:
(619) 440-3356
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:28CENSUS: 21DATE:
10/28/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:38 PM
MET WITH:Erin MarshallTIME COMPLETED:
03:36 PM
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LPA Gumienny conducted an annual/random inspection. Met with Director, Erin Marshall. LPA arrived as children were preparing for nap time. The indoor and outdoor of the facility was inspected. Preschool Room 1 (main day care room) had 12 children with 1 fully qualified teacher. Room 2 (2-3 year olds) was not being used during the inspection. Room 3 (3-4 year olds) had 9 children supervised by 1 fully qualified teacher. Room 4 (group classroom) is only used during the morning and was not in use during the inspection. Children were observed to be under visual supervision during the visit. The facility was within licensed capacity and ratio limitations. Classrooms have adequate lighting, heating, and ventilation. All floors appeared to be clean and safe. Disinfectants, cleaning solutions and other hazardous items were latched/locked and inaccessible to children. Furniture, children's cubbies, toys and napping equipment appeared to be in good condition. There is a functioning carbon monoxide detector in the facility. Trash cans had tight-fitting covers. There is a barricaded fireplace in room 1. Snack menus are posted a week in advance. Today's PM snack consisted of apple sauce, crackers, and water. All food were inspected and protected from contamination. The surface of the outdoor activity space is maintained in good condition. Outdoor equipment appeared to be in good condition. Installation of additional wood chips (cushioning material) was discussed with the Director. Last disaster drill was conducted and documented on 10/20/16. Drinking water is available both inside the classrooms and outdoor play area. Sign in/out sheets were reviewed. Opening and closing staff have current CPR/FA. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 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
SUPERVISOR'S NAME: Debbie HanesTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Richard GumiennyTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2016
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: ST. KIERAN'S PRE-SCHOOL
FACILITY NUMBER: 370806179
VISIT DATE: 10/28/2016
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No deficiency cited today. Director agreed to provide updated documentation naming individual with signature authority, latest board meeting notes, as well as updated articles of incorporation by 11/30/16. Director was provided appeal rights (LIC9058 12/15) and their signature on this form acknowledges receipt of these rights. Provided Notice of Site Visit (LIC 9213). Exit interview conducted. LPA observed Director post the LIC9213. ccld.ca.gov
SUPERVISOR'S NAME: Debbie HanesTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Richard GumiennyTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2016
LIC809 (FAS) - (06/04)
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