Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700329
Report Date: 08/26/2016
Date Signed 08/26/2016 02:08:01 PM

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:SAY-EINSTEIN EXTENDED DAY PROGRAMFACILITY NUMBER:
376700329
ADMINISTRATOR:GRAY ANNE MATUNDANFACILITY TYPE:
840
ADDRESS:3035 ASH STREETTELEPHONE:
(858) 380-8726
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:84CENSUS: 0DATE:
08/26/2016
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Ashlee Bradshaw, Program Director and Gray Anne Castillo, Site DirectorTIME COMPLETED:
02:15 PM
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Case Management visit conducted by Licensing Program Analyst Selina Siao, Program Director Ashlee Bradshaw and Site Director Gray Anne Castillo. No children were on site today as the school is closed for summer break, and staff are making final preparations for opening of the new school year scheduled on 08/29/2016. This facility is currently licensed for 84 children in the multipurpose room and Bungalow 37. The Licensee has submitted an application to relocate from Bungalow 37 to Bungalow 35 and will also continue to use the multipurpose room as their assigned space. Facility indicated through email that they will no longer be able to have other alternate areas therefore an updated plan of operation was not submitted. There is no change in the licensed capacity.

Bungalow 35 was inspected today. The room is used for science instruction during school hours but the sign for the maximum capacity is not available. The room is equipped with age-appropriate furniture for older school age 2nd through 5th grade and supplies, materials and equipment are stored in the multi purpose room. The following restroom will be use for the children in care: girls and boys restroom located next to the multi purpose room which there are a total of 3 toilets, 1 urinal and 4 sinks. There are additional bungalow restroom for the children to use with a boys and girls restroom with a total of 6-T, 2-U and 4-S. First aid kit is complete with required supplies. The outdoor play area consist of the black top area and the grass, dirt soccer field. Facility representative stated that the children do not use the play structure. There are more than sufficient toilets and sinks for the capacity 84 children as requested. Children shall be supervised by staff to and from the restrooms and direct visual observation is required. Both licensed area has a carbon monoxide detector.

Fire clearance for bungalow 35 and the multi-purpose room was granted on 08/17/2016. An updated license will be granted for 84 children ages 5 through 13 years in bungalow 35 and multi-purpose room. No citation issue.
SUPERVISOR'S NAME: Carol AugustTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2016
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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