Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700477
Report Date: 09/15/2016
Date Signed 09/15/2016 01:29:30 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:TOM WEBERFACILITY TYPE:
840
ADDRESS:11778 CYPRESS CANYON ROADTELEPHONE:
(858) 693-8593
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY:105CENSUS: 87DATE:
09/15/2016
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Tom WeberTIME COMPLETED:
02:00 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. There were 87 school-age children present today with staff Sharell Gooding, Zach Peterson (Inclusion Aide), Denise Sperber, Eric Mendoza, Fariba Barid, Emily Qian and Raya Shasha. 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.

There were no bodies observed within the premises. Mr. Weber states that facility do not maintain firearms or weapons on site. All children are under supervision, including visual observation, of a teacher at all times. Disinfectants, cleaning solutions 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. Mr. Weber stated that children are not allowed to use the climbing structure. Children are provided with balls and other equipment for outdoor play. Outdoor activity space surfaces are free of hazards.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2016
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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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: 09/15/2016
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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.
Included in today's discussion was the new immunization requirement for staff. Mr. Weber states that staff are in the process of completing their immunization requirement and will be completed by October.

NO DEFICIENCY CITED TODAY.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2016
LIC809 (FAS) - (06/04)
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