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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701389
Report Date: 05/03/2024
Date Signed: 05/03/2024 04:49:40 PM

Document Has Been Signed on 05/03/2024 04:49 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:KCE CHAMPIONS LLC AT SERRA MESAFACILITY NUMBER:
376701389
ADMINISTRATOR/
DIRECTOR:
MEGHAN HENNESSYFACILITY TYPE:
840
ADDRESS:2285 MURRAY RIDGE ROADTELEPHONE:
(858) 264-9561
CITY:SAN DIEGOSTATE: CAZIP CODE:
92123
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 26DATE:
05/03/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Meghan HennessyTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On 5/3/24 at 2:30 PM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced annual inspection at the facility. Upon arrival, LPA met with facility representative Itzamileth Cortez-Lopez (teacher) and toured the facility. This school-age program is located in church building Faith Community which also houses Elevate Elementary School. LPA observed 26 daycare children present with 3 staff members. Children came into the multi-purpose room to put their belongings in the totes and then went outside to play. Fun Fridays are outside play until parent pickup. Substitute site director Jocelyn Delariva was present shortly after LPA arrived until site director Meghan Hennessy arrived at 3:30 PM.

During this visit, LPA inspected the multi-purpose room. Rooms 104 and 204 are not in use today. Fire clearance was granted on 8/30/18. First Aid Kit and Medication are located in a locked portable cabinet in the multi-purpose room. Both are kept inaccessible from children. Epi-pens go in a staff member backpack onto playground. Facility sign-in and outs will be located in multi-purpose room on parent table. LPA reviewed staff records and children’s records and were found to be complete. All staff have completed mandated reporter training and at least one staff member has current CPR/First Aid. Staff members have required immunizations, physician’s report and transcripts on file. LPA reminded Site Director that three admin units are required within one year of hire.

Per H&S Code 1596.806, facility is exempt from square footage, toilet, isolation space, outdoor activity space and fencing requirements. All indoor and outdoor activity spaces utilized for the school age children were inspected. Multi-purpose room was observed to have age-appropriate furniture and equipment, including tables, chairs, bookshelves and other activity supplies for the children. LPA observed separate bathrooms with privacy. (continued on LIC809-C...)

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2024
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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: KCE CHAMPIONS LLC AT SERRA MESA
FACILITY NUMBER: 376701389
VISIT DATE: 05/03/2024
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There is a separate bathroom utilized for ill children. There is an operational carbon monoxide detector located in multi-purpose room. Snack menu is posted, as well as all other required documents. LPA observed snacks/food preparation area and observed it to be free of rodents and/or vermin. Snacks and refrigerator for program are located in kitchen next to multi-purpose room. (All foods/beverages capable of rapid spoiling are stored in covered containers at 45 F or less).

The outdoor playground area was inspected. Area has canopies for shade. LPA observed play structures were securely attached to the ground and sufficient rubber cushioning was under the structures. Structures were age appropriate. Children also have use of blacktop area with portable equipment/balls for children to play with. Drinking water is readily accessible inside and outside the classroom via water fountains. Extra bottled water is also available if needed. Facility representative is reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. (continued on LIC809-C...)

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2024
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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: KCE CHAMPIONS LLC AT SERRA MESA
FACILITY NUMBER: 376701389
VISIT DATE: 05/03/2024
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For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

No deficiencies were cited at this inspection.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Exit interview conducted and report was reviewed with the facility representative Meghan Hennessy. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2024
LIC809 (FAS) - (06/04)
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