Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700477
Report Date: 09/22/2015 12:00:00 AM
Date Signed 09/22/2015 03:51:21 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-ELLEN BROWNING SCRIPPS EXTENDED DAYFACILITY NUMBER:
376700477
ADMINISTRATOR:TRACY WASHINGTONFACILITY TYPE:
840
ADDRESS:11778 CYPRESS CANYON ROADTELEPHONE:
(858) 693-8593
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY:105CENSUS: 71DATE:
09/22/2015
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Tom WeberTIME COMPLETED:
04:15 PM
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(3) LPA Nancy Diaz conducted an unannounced random site visit today. LPA met and toured the facility with Tom Weber, Site Supervisor. All required notices, forms and license were posted in an area visible to the parents or authorized person. Observed present today were 71 children: Room 502 with 28 children and staff Alexandra Taulbee, Madhavi Kashappa & Iris Stone; Room 501 with 25 children and staff Manda Owen & Denise Sperber and Room 157 with 18 children with staff Renae Alvarado, Raya Shasha and Zach Peterson (inclusion aide). Room 157 children were in the lunch patio having snack consisting of goldfish crackers and apple juice. The licensee has not exceeded the approved capacity of the fire clearance for the facility. All children are supervised, including visual supervision, of a teacher at all times.

Firearms/weapons are not allowed or stored on premises. All children are under supervision, including visual observation, of a teacher at all times. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children, are inaccessible. Furniture and playground equipment are kept in good condition, free of sharp, loose or pointed parts. The child care center is clean, safe, sanitary, and in good repair at all times to ensure the safety and well-being of children, employees and visitors. All kitchen, food preparations and storage areas are kept clean, free of litter, rubbish, and free of rodents and other vermin. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements.

All toilets and handwashing facilities are safe and working in sanitary conditions. Uncontaminated drinking water is available both indoors and out. Menus are posted at least one week in advance, where an authorized representative can view them. The facility maintains compliance with staff-child ratios.
Outdoor activity space surface is maintained in a safe condition and free of hazards. All storage containers for solid waste have a tight-fitting covers that are kept on and in good repair. The areas under high climbing equipment, swings, slides are cushioned with material that absorbs a fall. Outdoor activity space surfaces are free of hazards.

CONTINUED ON PAGE 2...
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2239
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2015
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: SAY-ELLEN BROWNING SCRIPPS EXTENDED DAY
FACILITY NUMBER: 376700477
VISIT DATE: 09/22/2015
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Licensee operates the facility within the conditions, limitations and capacity specified on the license. Personnel records are maintained on the licensee, administrator, and each employee which includes documentation of the education background, training, and/or experience. All personnel are in good health, verified by a health screening, including a TB test, not more than one year prior to or seven days after employment. At least one person trained in CPR and Pediatric First Aid is present. The person who signs the child in/out uses their full legal signature and records the time of day. Facility maintains a separate, complete, and current records for each child in care.
A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances.

NO DEFICIENCY CITED TODAY.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2239
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2015
LIC809 (FAS) - (06/04)
Page: 2 of 2