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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105100
Report Date: 08/25/2022
Date Signed: 08/25/2022 01:37:53 PM

Document Has Been Signed on 08/25/2022 01:37 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:MERRY GO AROUND - PRESCHOOLFACILITY NUMBER:
376105100
ADMINISTRATOR:YVETTE JACKSONFACILITY TYPE:
850
ADDRESS:9175 KEARNY VILLA ROADTELEPHONE:
(858) 536-1008
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 31DATE:
08/25/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Yvette JacksonTIME COMPLETED:
11:00 AM
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On 08/25/2022 at 9:20am, Licensing Program Analyst (LPA), Samantha Clenista conducted an announced Change of Ownership Pre-Licensing inspection. Upon arrival, LPA met with Applicant/Director, Yvette Jackson. LPA took a tour of the facility and observed a total of 31 children with a total of 4 staff members. The Preschool Program (children ages 2-K) will operate in the following rooms: Pre-K, Preschool and Early Preschool (EPS). Fire clearance was granted on 08/12/2022. There is a First Aid Kit kept in the lobby, outside and in each classroom. Medications are on site and stored either in the director’s office or in the classroom (inaccessible to children) depending on the medication.

All indoor and outdoor activity space utilized for the children were inspected and measured today. The total indoor play space measured at approximately 2,397.29 sq. ft. which will accommodate a total of 68 children. LPA observed the indoor play space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children. There is a total of 8 toilets and 8 sinks available for the children. Children are to be escorted and supervised by staff to and from the bathroom and under direct visual observation. There are two separate bathrooms used by staff and is also designated for use by children who are ill. The nursing room (office located left of the storage closet) will be the isolation area for children who are ill. There is a carbon monoxide detector on site located in the hallway between the boiler and electrical room. The kitchen area currently includes 3 sinks, a stove, an oven, an ice maker, one dishwasher, 1 refrigerator and 2 freezers. Food and beverages are up to date and kitchen was observed free of rodents and/or vermin. All required documents for the parents and employees are posted. Sign-in sheet is via electronic using an application called ProCare. All children that were present during inspection were signed in.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2022
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: MERRY GO AROUND - PRESCHOOL
FACILITY NUMBER: 376105100
VISIT DATE: 08/25/2022
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The outdoor playground area was inspected and measured. Area was measured at approximately 4,817.36 sq. ft., which will accommodate no more than 64 children at one time. When LPA inspected the outdoor playground, LPA observed canopies and a big tree used for shade. Play area has age appropriate play equipment and sufficient cushioning under the climbing structure and is fully fenced (above 4ft. high). Drinking water is readily accessible inside and outside the classroom via water fountains and refillable water bottles.

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. LPA and applicant discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Facility Representative 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.

LPA reviewed the updated LIC311A with the facility representative today and reminded to keep anything that reads, “Keep Out of Reach of Children” inaccessible to children.


See 809-C for continuation...
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022
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: MERRY GO AROUND - PRESCHOOL
FACILITY NUMBER: 376105100
VISIT DATE: 08/25/2022
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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.

Exit interview was conducted with Facility Representative. A preschool license for 60 children (ages 2-K) per Ms. Jackson's request, in the Pre-K, Preschool and Early Preschool (EPS) Room may be granted upon final file review. Facility Representative stated her understanding. This report shall be kept available at the facility for public review for 3 years. An updated fire clearance will be requested to reflect updated capacity.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022
LIC809 (FAS) - (06/04)
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