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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600447
Report Date: 08/04/2023
Date Signed: 08/04/2023 01:36:48 PM

Document Has Been Signed on 08/04/2023 01:36 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:VISTA SQUARE STATE PRESCHOOLFACILITY NUMBER:
376600447
ADMINISTRATOR:MARISSA ALLANFACILITY TYPE:
850
ADDRESS:540 G STREETTELEPHONE:
(619) 422-8372
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 12DATE:
08/04/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Karla GomezTIME COMPLETED:
01:45 PM
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On 08/4/2023 at 10:00am, Licensing Program Analysts (LPAs), Adrian Castellon and Amber Hopkins conducted an unannounced required 1 year inspection and met with lead teacher Karla Gomez. LPAs disclosed the purpose of the inspection and was led on a tour of the facility. This is an AM and PM half-day program which operates on a year round school year schedule. Days and hours of operation are Monday – Friday 7:45am – 10:45am and 11:45am to 2:45pm. Upon arrival, there were twelve (12) children with lead teacher Karla Gomez and instructional assistant Mayra Ramirez.

Furniture and equipment in classroom are in good condition. Playground is located directly outside the classroom. Playground equipment is in safe condition. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. The area under high-climbing equipment and slides has rubber cushioning to absorb falls. Toilet and hand-washing equipment are in safe and sanitary operating condition. There are sufficient operating two toilets and two sinks located in the classroom for the licensed capacity. Floors in the facility are clean and safe. Waste storage containers are in good repair. Drinking water is available both indoors and outdoors via drinking fountains and personal water bottles. Facility has a functioning carbon monoxide detector. The last fire drill was conducted and documented 7/2023. Teacher stated there are no bodies of water on the premises and LPA did not observe any bodies of water. Teacher stated there are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, and other hazardous items are made inaccessible behind locked cabinets. Teacher stated medications are stored in the classroom and being administered at this time. Staff have fingerprint and background clearances through the Chula Vista Office of Education. Teacher 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.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 08/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/04/2023
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: VISTA SQUARE STATE PRESCHOOL
FACILITY NUMBER: 376600447
VISIT DATE: 08/04/2023
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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.

Menu posting requirement was discussed with staff on this date. Menu is posted. Food is brought to the classroom from the school cafeteria. Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility. LPA reviewed children sign-in/sign-out sheet with full legal signature and time of day. Children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than eight (8) children in care. LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment.

This facility does provide Incidental Medical Services (IMS) at this time. Medications were observed on site. 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. Director stated no children enrolled require medication at this time. LPA and director discussed the Community Care Licensing website www.ccld.ca.gov and California Megan’s Law (www.meganslaw.ca.gov). No deficiencies were cited during today's inspection.

Exit interview conducted with teacher Karla Gomez. Notice of Site Visit is provided and required to be posted for 30 days. LPAs observed form 9213 posted on the parents' bulletin board. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted with lead teacher. No citations issued on this date.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2023
LIC809 (FAS) - (06/04)
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