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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701470
Report Date: 08/08/2022
Date Signed: 08/08/2022 11:49:48 AM

Document Has Been Signed on 08/08/2022 11:49 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:COPLEY-PRICE FAMILY YMCA-INFANT PROGRAMFACILITY NUMBER:
376701470
ADMINISTRATOR:CRISTINA JIMENEZFACILITY TYPE:
830
ADDRESS:4300 EL CAJON BOULEVARDTELEPHONE:
(619) 280-9622
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 10DATE:
08/08/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Cristina JimenezTIME COMPLETED:
10:30 AM
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On August 8th, 2022 at 10 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a case management inspection for the purpose to provide Technical Assistance (TA) regarding required lead testing mandates. LPA advised Director Cristina Jimenez of the meeting’s purpose and was granted facility entry.

The facility serves twenty (20) children aged 6 weeks to 2 years. Present in the center were ten (10) infants and three (3) staff. The daycare operations are weekdays from 8 AM to 5 PM.

Childcare centers constructed before 01/01/2010 are to test their water for lead between 01/01/2020 and 01/01/2023 and then every five (5) years after the date of the first lead water testing. LPA provided director with Provider Information Notice (PIN) 20-01-CCP “Required Lead Testing for Drinking Water in Licensed Child Care Centers and the Provision of the Lead Exposure Information to Parents and Guardians by All Licensed Child Care Facilities” (issued 01/10/2020), PIN 21-21-CCP “Release of the Written Directive for Lead Testing of Water in Licensed Child Care Centers per AB2370” (issued 07/28/2021) and PIN 22-06-CCP “Lead Testing in Child Care Centers – Frequently Asked Questions” (issued 02/25/2022). LPA also provided the director with the LIC 9275 – External Water Sampler Self-Certification Form and the LIC 9276 – Center Sampling Checklist Form. LPA suggested that staff review these PINs on the CCL website so they may gain access to the video imbedded on the online PIN. This video was created by the Office of Water Programs at Sacramento State. Should staff have any questions, LPA recommends they email CCCWaterTesting@dss.ca.gov.

No deficiencies were issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Cristina Jimenez.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2022
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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