<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701530
Report Date: 08/19/2022
Date Signed: 08/19/2022 02:36:49 PM

Document Has Been Signed on 08/19/2022 02:36 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:KCE CHAMPIONS LLC @ VILLAGE PRESCHOOLFACILITY NUMBER:
376701530
ADMINISTRATOR:DANIELLE CAVANAUGHFACILITY TYPE:
850
ADDRESS:600 6TH STREETTELEPHONE:
(619) 375-7203
CITY:CORONADOSTATE: CAZIP CODE:
92118
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
08/19/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Danielle CavanaughTIME COMPLETED:
11:28 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 8/19/22 at 8:00am, Licensing Program Analyst (LPA), Martha Malane arrived at the facility to conduct a pre-licensing inspection. LPA met with Facility Representative, Danielle Cavanaugh and was led on a tour the facility. The preschool is located on the Village Elementary School campus in the PE Room. Applicant is requesting a capacity of 43 children (age 3 – 5 years). Applicant’s planned hours of operation are Monday - Friday 6:30am – 5:30pm.

The indoor space measured a total of 1520.13 square feet which is sufficient to accommodate 43 children. The classroom is equipped with age appropriate furniture and equipment including nap mats, tables, chairs, cubbies, bookshelves and other materials for children. There are seven (7) toilets and seven (7) sinks available for use, which is sufficient to accommodate the requested capacity. Facility is requesting a waiver to share the restrooms. Restrooms are located next to the PE Room and the outdoor activity space. Drinking water is available outdoors and indoors via water jugs and refillable water bottles brought from home. There is a separate restroom for staff located in the school office. The staff restroom will be utilized as an isolation restroom and there is an isolation area next to the director’s desk for children who are ill. Disinfectants and cleaning solutions are kept inaccessible in a cabinet near the director’s desk. The facility utilizes manual sign in and sign out sheets. Required documents are posted. There is a carbon monoxide detector that met requirements.

The outdoor activity space was inspected and measured a total of 4155.47 square feet which is sufficient to accommodate the requested capacity. Facility is requesting a waiver to share the outdoor activity space. The outdoor space is fenced and shade is provided by the use of canopies. Proper supervision and placement of staff outside was discussed to ensure the safety of children at all times. Children are to be escorted by staff to and from the outdoor activity space.

Continued See LIC809C…
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 08/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/19/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: KCE CHAMPIONS LLC @ VILLAGE PRESCHOOL
FACILITY NUMBER: 376701530
VISIT DATE: 08/19/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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.

LPA reviewed with facility representative the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. LPA and facility representative discussed water testing in child care centers and LPA provided an Effects of Lead Exposure flyer.

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.

A Fire clearance for 60 children (age 2 – 5 years) was granted 7/5/22.

Prior to licensure the following is needed:
1) Waiver approval to share outdoor activity space
2) Waiver approval to share restrooms
3) Covers placed on all wall electrical sockets
4) Director exception approval

Exit interview was conducted with Facility Representative, Danielle Cavanaugh. Once the listed requirements have been met and proof submitted to CCL, a license may be granted after a final file review.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2